According to WSJ [1] the issue was that the ads were autoplaying with sound on. Just auto playing by itself isn't considered intrusive by the industry.
[1] https://www.wsj.com/articles/hostilities-rise-inside-g-o-med...
[1] https://www.wsj.com/articles/hostilities-rise-inside-g-o-med...
Autoplay is evil everywhere unless I enable it explicitly.