[schiffern]

  >  This is a huge straw man/whataboutism that contributes nothing to the discussion.

It's a countervailing concern, not a strawman.

  > bad software modifications... should be punished wherever they arise

Corporations are currently unpunished (per TFA) when they alter software in a way that risks patient safety, and they have already caused documented harm to patients. This is a shocking failure of federal oversight, but the captured FDA will (by design) never fix it. Oops.

In light of the real harm caused by this neverending policy failure, the Library of Congress is morally and ethically obligated to permit fair use exemption. Individuals and homebrew communities must be unshackled to protect patients from the real (not hypothetical!), documented, and widespread harm caused by corporate-sponsored attacks on US medical infrastructure.

No, that's not an exaggeration.

Given the current anti-patient landscape, the protections of open source far outweigh any risk.