D0 N0 H4RM: A Healthcare Security Conversation

Presented at DEF CON 31 (2023), Aug. 12, 2023, 10 a.m. (105 minutes)

In 2016 a bunch of hackers took a break from DEF CON festivities to gather in a hotel room with a bathtub full of beer and talk about shared interests in a brave new world of connected healthcare. Trailblazers were popping pacemakers and pharmaceutical pumps, and we worried that instead of embracing such efforts as opportunities to make tech safer for patients, folks in charge would repeat mistakes of the past and double down on the status quo. Fast forward to the 2022 passage of the Omnibus spending bill- the FDA is now locked and loaded with expanded authority to regulate cybersecurity requirements for medical devices. What changed? *Keanu voice:* “Policy. Lots of Policy.” Turns out when we get in with the right people, hackers can help get things done. This is the core of Policy @ DEFCON. Challenges persist. We now have threats from state actors and ransomware blasts delaying lifesaving medical care while costing hospitals hundreds of millions of dollars they don’t have (been in an ER lately?). So once again, come join quaddi and r3plicant, your favorite ripper docs, for another round of D0 No H4rm- this time with special guests from Congress, FDA, and the White House as we figure out what policy patches have the best chance to save lives. It starts here, in rooms like this, with hackers like you. And it ends with us changing the world.

Presenters:

  • Nitin Natarajan - Deputy Director at Cybersecurity and Infrastructure Security Agency (CISA)
    Nitin Natarajan serves as the Deputy Director for the Cybersecurity and Infrastructure Security Agency (CISA). Prior to joining CISA, Natarajan served in a variety of public and private sector positions spanning over 30 years. Natarajan also held a number of federal government roles to include Deputy Assistant Administrator at the U.S. Environmental Protection Agency, the Director of Critical Infrastructure Policy at the White House/National Security Council, and as a Director at the U.S. Health and Human Services overseeing healthcare and public health programs. At the beginning of his career, Natarajan spent 13 years as a first responder in New York, which included service as a flight paramedic. He was the Commander of a federal medical response team, based in New York, and has extensive experience deploying to natural and man-made disasters throughout the nation. He holds an under graduate degree from the State University of New York and a graduate degree from the United States Naval Postgraduate School.
  • Christian “quaddi” Dameff, MD - Physician & Medical Director of Cyber Security at The University of California San Diego
    Christian (quaddi) Dameff MD is an Assistant Professor of Emergency Medicine, Biomedical Informatics, and Computer Science (Affiliate) at the University of California San Diego. He is also a hacker, former open capture the flag champion, and prior DEF CON/RSA/Blackhat/HIMSS speaker. Published works include topics such as therapeutic hypothermia after cardiac arrest, novel drug targets for myocardial infarction patients,and other Emergency Medicine related works. Published security research topics including hacking critical healthcare infrastructure,medical devices and the effects of malware on patient care. This is his nineteenth DEF CON.
  • Christian Dameff MD MS / quaddi - Physician & Medical Director of Cyber Security at The University of California San Diego   as Christian “quaddi” Dameff, MD
    Christian (quaddi) Dameff MD is an Assistant Professor of Emergency Medicine, Biomedical Informatics, and Computer Science (Affiliate) at the University of California San Diego. He is also a hacker, former open capture the flag champion, and prior DEF CON/RSA/Blackhat/HIMSS speaker. Published works include topics such as therapeutic hypothermia after cardiac arrest, novel drug targets for myocardial infarction patients,and other Emergency Medicine related works. Published security research topics including hacking critical healthcare infrastructure,medical devices and the effects of malware on patient care. This is his nineteenth DEF CON.
  • Suzanne Schwartz, MD - Director of the Office of Strategic Partnerships and Technology Innovation at FDA
    Dr. Suzanne Schwartz is the director of the Office of Strategic Partnerships &Technology Innovation in the Center for Devices & Radiological Health. Among other public health concerns, her portfolio has most notably included medical device cybersecurity, for which she chairs CDRH’s Cybersecurity Working Group. She also co-chairs the Government Coordinating Council for Healthcare & Public Health critical infrastructure sector. Before FDA, Suzanne was a full time surgical faculty member at Weill Cornell Medical College.
  • Jeff "r3plicant" Tully, MD - Anesthesiologist at The University of California San Diego
    Jeff (r3plicant) Tully is a security researcher with an interest in understanding the ever growing intersections between healthcare and technology. His day job focuses primarily on the delivery of oxygen to tissues.
  • Jacqueline Burgette, DMD, PhD - White House Fellow at The Office of National Cyber Director (ONCD)
    Jacqueline Burgette DMD PhD is a White House Fellow at the Office of the National Cyber Director. Jacqueline is a clinician, educator, health policy expert and researcher working at the forefront health and cybersecurity. Jacqueline earned her DMD from the Harvard School of Dental Medicine as a Presidential Scholar and Ph.D. in Health Policy and Management from the University of North Carolina. She served on the faculty at the University of Pittsburgh where she led multi site studies that amplified the voices of vulnerable families to improve child health in Appalachia. As an expert in health services and highly-published author, she brings her systems perspective and data-driven approach to achieve cross-agency priorities in health and cybersecurity for the Federal government.
  • Mark Warner, Senator - Virginia Senator and Chair of the US Cybersecurity Caucus
    Sen. Warner was elected to the U.S. Senate in November 2008 and reelected to a third term in November 2020. He serves as Chairman of the Select Committee on Intelligence and as a member of the Senate Finance, Banking, Budget, and Rules Committees. He also co-chairs the Senate Cybersecurity Caucus. From 2002 to 2006, he served as Governor of Virginia. He has served as a key author and negotiator of several pieces of critical legislation aimed at rebuilding our nation’s infrastructure, improving cybersecurity, restoring domestic manufacturing, protecting national security, rebounding from the COVID-19 crisis, and investing in under served and underbanked communities.
  • Jeff Tully MD / r3plicant - Anesthesiologist at The University of California San Diego   as Jeff "r3plicant" Tully, MD
    Jeff (r3plicant) Tully is a security researcher with an interest in understanding the ever growing intersections between healthcare and technology. His day job focuses primarily on the delivery of oxygen to tissues.

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