Earlier quoted context omitted.
So there is software on a medical device concerned with users copying a Billy Joel CD?
They sell every functionality as an aditional "license" or "plugin". So, for example, it's not unusual that, by default, your half a million USD scanner, that includes a powerful workstation to control it (the one the technician uses behind the window) will only let you write CDs (for example, to give your patient a copy of his/her scan) if you pay an additional "CD Writing license" Now, with PACS and centralization…
Thanks for the explanation. Still gross but not as bad as RIAA checks being performed somehow.