From the article it seems that they don't provide tech support neither to doctors, nor patients. And wrangling legacy systems in the field still may be worked out for much less money.
The real problem is that requirements are written in such a way that very few (in this particular case just ONE) companies can satisfy, so essentially there's no competition - exactly a kind of situation which lets to pump up prices.
And if you asking yourself are those requirements really benefit users, or specifically created for money to go to, you know, "right hands" - you're probably asking the right question.
Why are they even building custom software at all if the target demographic is 70+ ? And why are they making senior citizens opt-in for an appointment ? its idiotic. They should have nationalized the browser/OS vendors to provide a solution, for free if its a national emergency.
The real problem is that requirements are written in such a way that very few (in this particular case just ONE) companies can satisfy, so essentially there's no competition - exactly a kind of situation which lets to pump up prices.
And if you asking yourself are those requirements really benefit users, or specifically created for money to go to, you know, "right hands" - you're probably asking the right question.