How do you verify that the display controller is not acting up and not blanking out a region of the display that contains essential data?
If you cannot prove things like that for your medical device, you won't be allowed to sell it.
Meeting the FDA guidelines is more about finding the cheapest way to technically meet the spec rather than trying to build something safe.
But gaming the certification process is unfortunately also a thing. In the EU the certification is performed by private companies who are themselves certified by the government for this job. The kicker is that they are competing against each other on a free market. Potentially shopping around for the most lenient certification process could be a thing. I haven't witnessed it yet but it certainly is possible in that system. The thought alone scares me.