Subtractive Security: A Proactive Approach to Erasing Attack Paths
Rectangle Health CISO Chris Frenz champions 'subtractive-hardening' to proactively remove attacker options and reduce risk in healthcare environments.

In the complex and high-stakes world of healthcare cybersecurity, a paradigm shift is underway. Chris Frenz, CISO at Rectangle Health, is advocating for a proactive security strategy he terms 'subtractive-hardening.' This approach moves beyond traditional detection and response models, focusing instead on the deliberate removal of potential attack vectors before they can be exploited.
Frenz's architecture standard, developed for OWASP, posits that the most effective way to enhance security is to systematically eliminate the pathways an attacker could use to compromise a system. Instead of building more sophisticated defenses to catch threats in progress, subtractive security aims to shrink the attack surface by removing unnecessary components, configurations, and access points. This philosophy is particularly relevant in healthcare, where the sensitive nature of patient data and the critical need for system availability demand robust and resilient security measures.
The core principle of subtractive hardening is to reduce complexity and minimize the opportunities for adversaries. This involves a rigorous process of identifying and eliminating redundant services, unnecessary user privileges, and insecure configurations that often accumulate over time in complex IT environments. By proactively pruning these elements, organizations can significantly reduce the potential blast radius of any successful intrusion.
This methodology contrasts with more conventional security approaches that often rely heavily on monitoring, intrusion detection systems (IDS), and incident response teams to mitigate damage after an attack has begun. While these elements remain crucial, Frenz argues that subtractive security provides a foundational layer of defense that makes subsequent detection and response efforts more manageable and effective. When there are fewer attack paths, there are fewer potential incidents to detect and respond to.
The implementation of subtractive hardening requires a deep understanding of the organization's IT infrastructure and a commitment to continuous security assessment. It involves regular audits, vulnerability assessments, and a disciplined approach to system design and maintenance. The goal is to create an environment where the default state is one of minimal exposure, making it inherently more difficult for attackers to gain a foothold or move laterally within the network.
Frenz's work highlights a growing trend in cybersecurity: the move from a purely reactive stance to a more proactive and preventative posture. As cyber threats become more sophisticated and automated, the ability to anticipate and neutralize potential attack vectors before they are exploited is becoming paramount. Subtractive security offers a compelling framework for achieving this goal, particularly in sectors like healthcare where the consequences of a breach can be severe.
By focusing on the removal of attacker options, organizations can not only enhance their security posture but also potentially reduce the operational overhead associated with managing complex security tools and extensive monitoring systems. The long-term benefit is a more resilient and secure environment, built on the principle of making the system as inhospitable to attackers as possible from the outset.