brucek2 :
You are entitled to your opinion. However I'd note 1) you did respond and 2) Microsoft did issue a patch. You and I are not going to be the only two members of civilization having this discussion and whatever pressures led to Microsoft's policy reversal in this instance may be just beginning.
The legal, moral, and political issues at play here are complex. On top of that all 3 may have to give way to practical issues as the global economy is not going to accept constant shutdowns, yet rewriting all of the world's legacy software that is not compatible with the currently supported versions of Windows in one week, month, or year is not possible.
I agree that plenty of hospital IT staffs can "disable the built in promotions" but that's not what is required. Being able to rewrite decades worth of legacy software baked into every nook and cranny of a large complex enterprise is what is required, and it is a different skill set, a different amount of labor required, and it assumes they have the source code or the original vendor is still in business, yet neither may be true.
Your assertion that a society will forego all legal and political remedies against a product that is dangerous just because it is old are also incorrect - research for example asbestos, tobacco, and thalidomide.
You're entitled to support stupid people and continue the reason this mess happened in the first place.
When the first businesses that got ransomware and instead of listening to law enforcement that told them, "Don't pay the ransom." and they paid anyway because the upfront cost seemed cheaper than a long term solution.
Now today, we're at that can these companies kicked down the road, it became profitable for ransomware writers, so surprise, they launched a bigger attack to get more money. Why wouldn't they, businesses have proven they're more than willing to throw money for a short term solution instead of fixing the issue.
Your reasoning is the same, "These are all critical systems, it would be too costly, too hard, too difficult to replace all these systems!" So you continue the problem for a short term solution which in the long term will cost you more, look at the bigger picture.
Microsoft's patch release for dead OSes is just a product of our society that I'll point out you're enabling. Our legal system needs an overhaul because, "Well, I'm an idiot." is an accepted legal defense.
Also, as far as I know asbestos, tobacco, and thalidomide were always bad for you, so your comparison makes no sense. Not like 98, ME, Vista and XP were always insecure, they became insecure because Microsoft stopped supporting them, which they were very vocal and clear to customers that they should stop using them after a certain date.