this post was submitted on 09 Oct 2024
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Mandatory MFA isn't a bad thing though.
If an old lady doesn't want to remember a password, should she be able to enter just her email/identifier without any verification?
I just think they should be able to opt out. Its up to the patient what their security posture is. If they don't want it, they shouldnt be forced to have it. Just have them sign away their rights to sue the hospital or something along those lines.
I'm open to hearing an argument why it should be forced to use MFA even if the patient doesnt want it. I know at least one hospital my company works with that has it optional for patients who want it.
I think most people are just unaware of the risk that is involved. Healthcare information is some of the most sensitive data on a person and should be protected at all cost.
Some older people in particular have as much of a self-preservation instinct on the internet as toddlers in real life. If protecting them takes away a tiny bit of agency from them then so be it because they cannot be trusted with such decisions. I believe any reasonable person would use MFA because trading off a tiny bit of convenience for a significant amount of security is always worth it.
Most of these patients have already received emails from multiple healthcare organizations that their data was breached though.
The way medical data is stolen isnt through individual accounts usually unless you are famous or a politician.
MFA doesn't really help much in the case of a tech illiterate person though, since TOTP codes can be phished just like username and password can. A scammer that calls them will just ask for the code in addition to the username and password.
My employer uses Yubikeys with FIDO2/WebAuthn for two factor auth, but that's probably too complex for a non technical person to figure out (even if it's basically just "press the button when it tells you to").
Well, TOTP prevents at least these attack vectors, even for tech-illiterate people:
With TOTP there must be at least some contact between the "hacker" and the victim.