I'm unclear if the E911 system is a statewide thing in Maryland, but the failure was located at a state node where that the county colocates some equipment.
Not trying to justify NG911 or say that the failure is OK. But similar to what you are saying, the old E911 system was far from perfect.
An outage is an outage, and if someone is trying to make a 911 call and it doesn't go through, it's a big deal. If that outage is statewide or just a local PSAP, the issue is the same.
A lot of those old E911 routers were reliant on 56K phone company circuits, or fractional T1's. The'd fail. The skill to work on those old switched circuits is quickly retiring. I hired a tech that used to work for the local exchange carrier as the 911/HiCap guy for the area, and he didn't get much time off he was so busy. Keeping those old circuits running is going to get harder and harder.
LEC's are not installing those old circuit switched circuits anymore. They want to land fiber and hand off as IP. That's happening across the country.
Even on the E-911 side, a router at the Tandem switch can fail and take down multiple PSAP's. Getting hard to find guys that know how to work on that stuff.
Properly set up, a NG911 PSAP should have multiple links to the core, and there should be more than one core. Maybe PA hasn't completed the roll out of the system yet.
NG911 when fully built out, should be more reliable, but I think we're not there yet.