Factually healthcare is more regulated than most industries in the US and the web of regulations has no design and where it does, patient safety is rarely the primary goal.

More likely your initial comment was downvoted because it provides little additional context and makes a claim without support, as if it's self evident. Comments such as that rarely do well on complex topics. My own rule of thumb is that if I'm stating something as fact and I'm writing a single sentence, it's likely a low effort and low usefulness comment that is unlikely to be beneficial to the conversation.

Your comment immediately above this was likely flagged because of your inflammatory accusations and assumptions about why your were downvoted, and IMO shows a alack of introspection about possible reasons as to why you were downvoted. Much better to ask why than to throw out accusations, at least if your goal is to have a useful discussion or learn something (bot of which require some level of assuming good faith to others here).

That really isn’t what the HN audience is. That comment has a mix of upvotes, downvotes and flags, and at least some of the downvotes I can see are from HN users who routinely downvote/flag inflammatory rhetoric, no matter what ideology it’s advocating or attacking.

You're being downvoted because you're saying something factually incorrect, and now you're being flagged for blatantly breaking the HN guidelines and degrading the discourse.