If it's good enough for the NSA and other paranoid intelligence agencies and military, I think it's good enough for our healthcare orgs.
But I do get your sentiment on a user level. If one of my comp sci professors is using Linux in lecture, they are instantly more credible to me than those who use windows (or MacOS!!) unless I have known them for a while and have found out firsthand.
Children of Time series goes over this a little bit, especially in the first book. Colonists end up waking up early due to a malfunction and end up falling into a devolving tribalistic race to the bottom on their journey to the planet.
EDIT: As for "hard" scifi, while I wouldn't say this series is at the same level as The Martian or maybe The Expanse, it is pretty good with trying to keep things real, especially with regards to the human threads of the story.