I don't necessarily disagree with you, but I did want to point out that a big part of what made it possible for Word to displace WordPerfect in the legal world was, literally, the fact that Word implemented full support for WordPerfect's file format including all sorts of weird quirky edge cases.
So, an analogous "Word-killer" today would presumably have to implement all of the docx format's weird quirks etc. On the one hand, the file format is standardized and open, so in principle that should be possible; on the other hand, it's a pretty gnarly file format, with a lot of nooks and crannies. Ironically, I remember hearing once that some of the weirder nooks and crannies of the docx format have their roots in... Word's WordPerfect interoperability features.
And as somebody who recently spent far more time than he expected to trying to reliably get data _out_ of a set of mildly-complicated docx files, I can report that the various fiddly details that the OP notes as being particularly important in the legal domain --- very specific details of paragraph formatting, complex table structures, etc. --- are a huge PITA to deal with when working with the docx format.
It seems to me as though you're reading a lot in to that second paragraph. Are you disputing the basic facts outlined, about "masked agents roaming the streets kidnapping people in broad daylight"? Because that is, in fact, a thing that is happening in cities all over the country right now, and simply pointing out that it is happening is not a partisan act.
It really depends on the specifics of the clinical situation; for a lot of outpatient radiology scenarios the patient and radiologist don't directly interact, but things can be different in an inpatient setting and then of course there are surgical and interventional radiology scenarios.
Umberto Eco gave a pretty well-reasoned definition of Facism, and I think it's pretty straightforward to apply this definition to the situation in London (and DHH's commentary thereon): https://en.wikipedia.org/wiki/Ur-Fascism
Ages and ages ago a group of colleagues of mine did a study of faxing Arabic-language prescriptions- the low resolution of the fax machine, as well as the textured appearance of the forgery-resistant paper that prescriptions had to be printed on, meant that diacritic marks got smudged in ways that were leading to clinically-meaningful confusion on the part of the reader. Here's their paper about it: https://pubmed.ncbi.nlm.nih.gov/22178294/
So, an analogous "Word-killer" today would presumably have to implement all of the docx format's weird quirks etc. On the one hand, the file format is standardized and open, so in principle that should be possible; on the other hand, it's a pretty gnarly file format, with a lot of nooks and crannies. Ironically, I remember hearing once that some of the weirder nooks and crannies of the docx format have their roots in... Word's WordPerfect interoperability features.
And as somebody who recently spent far more time than he expected to trying to reliably get data _out_ of a set of mildly-complicated docx files, I can report that the various fiddly details that the OP notes as being particularly important in the legal domain --- very specific details of paragraph formatting, complex table structures, etc. --- are a huge PITA to deal with when working with the docx format.