Two observations:
1) Shipping-and-iterating is uncomfortably hard. Putting your product out there in front of users is painful. It's a lot easier to just constantly brainstorm ideas or hide in the coding cave.
2) As a founder, it's tempting to think that your startup is unique: what you're building is uniquely challenging, important and highly non-trivial.
Anecdotally, I've seen far too many founders (including my own past self) use 2 as an excuse not to do 1: most of the time, those never even launch. And not just in the hardware space, but also in: health-tech, bio, fin-tech, gov-tech, legal-tech, insur-tech, prop-tech, food-tech, logistics, and even B2B SaaS ("what we're building is hard and needs enterprise-grade robustness / security").
There may be ways to build massively successful companies that don't involve rapid shipping-and-iterating cycles, and in general there may be ways to build successful companies while ignoring or even doing the exact opposite of what YC advises.
But YC would know a few things about hard-tech from having funded possibly hundreds of such companies, including several massively successful companies. In fact, the top 3 YC companies of all-time as of 2020 are all in highly-regulated spaces: Stripe, Airbnb and Cruise [1]. Cruise in particular is a hardware company (self-driving cars) whose billion-dollar success was largely due to their ability to ship-and-iterate much, much faster than pretty much every other self-driving car company out there.
[1] https://www.ycombinator.com/topcompanies