The examples you give have regulations for software. Even if companies want to "move fast and break things," with medical devices there are required tests and the testing and results are audited by the feds (here in the US), so you're forced to move slowly and not be broken (in ways that are regulated).
That does not mean "high quality." You can still have an architecture that's tightly-coupled spaghetti code that resists all human efforts at debugging. It just means "we threw enough paperwork at the auditors that they're not asking for more."
That does not mean "high quality." You can still have an architecture that's tightly-coupled spaghetti code that resists all human efforts at debugging. It just means "we threw enough paperwork at the auditors that they're not asking for more."