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their support is awful - they ship products that don't work and then won't give you necessary patches until you've paid extra for support...
This is a lie. Not necessarily a untruth, but the implication that because their devices have blocked that number of infections... how did they calculate it? Based on the number of workstations behind their devices? The number of devices? The number of sonicwall devices? The number of possible files infected? The number of times it decided an incoming attempt/file/web site was POSSIBLY trying to infect?
When it comes to a small medical office, you need to show reasonable effort to protect the network for HIPAA compliance. Any reasonably well setup business class firewall/UTM should suffice. Personally, I've used Untangle - the FREE version - for most of my clients and to date, NONE have been hit with malware of any significant kind and NONE of had a ransomware infection. That doesn't mean you only want to use the free version, but the paid version adds even more protection and effectiveness.
Here's a comparison that demonstrates Untangle has a superior rating than Sonicwall:
Fortinet has a better rating than SonicWall and Untangle is the third best of the list (albeit with a small sample size compared to some of the better known products).
Regardless of the device in use, it will NOT be a panacea.
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