“Where do floppy disks, pagers, fax machines, and COBOL still run critical systems today? Map the surviving obsolete tech”
A curated live-web map — not a census — of 23 documented operational examples across 8 countries plus one global aviation fleet, sourced June 2025 through August 2026: 7 COBOL, 11 fax, 3 floppy-disk and 2 pager systems still doing critical work. “Obsolete” describes the component, not the importance of the service; in many cases modernization is under way while the old part keeps running.
All eleven are in healthcare. Fax is embedded in interoperability plumbing — prior authorization at Cleveland Clinic, Providence and Sanford Health, patient records at Stanford Medicine, prescriptions in Ontario, everyday use in three NHS trusts, dispatch-failure continuity at London Ambulance Service, and nationwide practice communication in Germany. It persists because it is the one channel every counterparty can receive.
Tax, benefits and banking cores across five countries: the IRS and Social Security in the US, HMRC and Lloyds in the UK, the Australian Taxation Office, Denmark's Bankdata and Italy's SOGEI. Decades of business rules are encoded in the code itself, so agencies maintain and translate rather than switch off.
Floppies survive at hard-to-replace transport interfaces: San Francisco's Muni Metro train control, FAA air-traffic systems, and navigation-database updates loaded by disk on the Boeing 747-400 fleet. Safety certification makes the loading hardware the expensive part to change.
Pagers hold on in urgent UK clinical alerting — NHS Blood and Transplant and the Northern Ireland Ambulance Service — where one-way radio paging still beats phones for reach and reliability when seconds matter.
| Tech | Organization | Location | Critical function | Source |
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Method: curated scan of official, major-news, trade, academic and specialist sources, June 2025 – August 2026. Candidate results were semantically screened for a named, active production use of the technology; weak or stale cases were removed. 23 examples remain — 11 fax, 7 COBOL, 3 floppy disk, 2 pager. Source dates are article or document dates, not installation dates. Sector counts come from the precomputed summary. Coordinates for national, regional and fleet-wide systems are representative anchors. This is a documented sample of the live web, not an exhaustive census.