I'd say
worse than medical. As long as it works and doesn't fail, no one will give a fuck about medical hardware or the condition it's in. Just look at your average GP's ultrasound, it's probably older than the GP themselves is.
Gambling however, you constantly have government auditors and the tax office crawling up your literal arse to make sure you don't cheat the gamblers, or worse, the government out of their money. And in some cases, add the mob or other criminals on top who also want their cut.
