If you think medical design is penny pinching, visit a TV station sometime. Some are still using their first Conrac color monitors from the early '70s. Other than the news department, no new equipment is bought unless it can eliminate a job or three. Their money goes to pay the executives and talking heads. Some is spent to dress up their news set, but the other employees get screwed. The policy is, "If we let you buy parts, we get a smaller bonus at the end of the year."
One of the Orlando TV stations bought a new video switcher/router for their studios about 20 years ago, then laid off everyone who was qualified to install it, before it arrived. It was still in a crate, two years later as they struggled with the dozens of failing patch bays and old coaxial cabling. The chief engineer was doing everything by himself and could barely keep them on the air, let alone do a major rewire of multiple studios.