this post was submitted on 30 Mar 2024
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Problem is that if the factor is not authenticated by the server, it doesn't count. Not saying it's not helpful, but it's not part of the consideration when designing the security of the system.
The device can be attacked for an indefinite time and the server knows nothing about that. Or the device can disable that additional security either knowingly or maliciously and the server has no knowledge of that breach. So it's still a single factor, "something you have" to the perspective of the server when considered security.
I've worked with healthcare data for decades and am currently a software architect, so while it's not my specialty directly, it is something I've had to deal with a lot.