The real problem with digital medium format is the camera bodies.
Primitive stuff compared to 35mm DSLR cameras.
Depends on intended use.
Modular MFD bodies means various viewfinder options (Hasselblad V and H, Contax 645, Mamiya RB/RZ, Rollei/AFI etc.), removable backs to use on full front/back T/S Tech cameras, and most MFD backs offer more sophisticated tethering, and you can select up to 200 meg capture ... plus, no 35mm DSLR production camera offers full level sync speeds to 1/800th, 1/1000th or 1600th.
MFD sprang from studio applications to widen its appeal beyond to add value and versatility, while 35mm DSLRs are making forays into the studio where 1/2 the toys are semi-useless, and you are manually precision focussing through a dim peep-hole instead of a big bright MF viewfinder.
In the studio and on many commercial locations (where the money is), it is the 35mm DSLRs that are primitive IMHO.
Personally, I'm not a tech hound and a 35mm DSLR bristling with buttons and movie modes or what-ever, just makes a good camera bigger and more expensive. A fast focusing high ISO machine that isn't struggling to be a MFD camera or a sudo-video camera is more to my liking. Then it is king of its applications where speed and agility are it's attributes.
-Marc