Upvotes on this submission may be manipulated: https://imgur.com/a/LOI6B

This seems like it might be an automated response but at any rate - give him a break. Mentioning the HN post to people on Twitter hardly translates to "manipulating upvotes" to me.

There is no practical reason to link to a new HN submission rather than the destination of the submission itself other than to obtain upvotes.

The only purpose of linking to /newest is an ages-old voting ring detector evasion technique which doesn't actually work.

How about the discussion around the post? Like this comment section. That's a masssively different value proposition that you only access by linking to HN rather than the article itself.

There were zero comments before mine. (and it's why I explicitly stated "new" threads)

Sort of glosses over the whole systems integration aspect...

Do you mean the integration into the doctors' existing systems?

yep. how do you feed the appointments into your system?