I think PH is different because it seems that if a superuser/mod will not upvote an item, it will be practically dead. On HN/Reddit/Medium you will always get at least 20-50 views. On PH I got 5. It's even more stark when you count the fact that top PH submissions get many more views than on HN/Reddit/Medium.
This "Mathew effect" is the case with a lot of things – book deals and record deals, for instance. Unknown artists occasionally do get their big breaks by being in the right place at the right time. But if you're managing one (even if it's yourself), it makes sense to improve your odds by being systematic, and yes, basically cosying up to the gatekeepers whoever they are.