Gambit and Scheme have been used for health applications. Here's one paper on that subject, from 2013: https://ecem.ece.ubc.ca/~cpetersen/lambdanative_icfp13.pdf
I would mention the use of GNU Guile to build Guix, which has had considerable uptake. Guile has been used to build other Linux programs.
Admittedly, Scheme isn't widely used. But impractical? No!
Nobody knows really but my suspicion it's not for moving Cisco codebase to Scheme.
Having worked at Beckman¹ from 1978-2022, I strongly suspect that the support of a Scheme-based system was due to the educational background of several of the senior developers in that group of the Life Sciences software development team.
¹ Beckman Instruments -> SmithKline Beckman -> Beckman Instruments -> Beckman Coulter -> Beckman Coulter acquired by Danaher 2011 -> Beckman Coulter Capillary Electrophoresis business moved (2013) to AB Sciex (also a Danaher company)
Common lisp isn't that big of a moving target, its also a standard which means that the standard isnt moving. In the vehicular comparison, I'd say its more like the filliping geepney (big heavy, shiny and bullies it way through heavy traffic).