English is my 3 language so i could be wrong, but i thought Skin in the game means exactly that, there is skin to be lost if shit goes bad.
in the example of "Do you know why surgeons don’t perform surgery on close friends , relatives , or spouses?" the skin in the game would be that you f up and do something bad to your friend... Or if you do it as a job on person that you don't know and you f up skin in the game is that you will lose your job and not work again as a surgeon.
not having skin in the game would be if a surgeon is doing an brain surgery and you walk in as a random guy (not working there, no one knows you, you just ended up there and have nothing to lose) and you are convincing the surgeon that he is doing things wrong and he does not know how to do his job.
Does that mean the the surgeon is 100% right or that you are 100% wrong? No. but does that mean that surgeon will get fired if he listens to you and fucks up and you will just walk away with no consequences? 100%
A medical doctor is not going to try and remove you from life intentionally. There are measures in place to prevent doctors from trying to intentionally do wrong. There are zero measures in place to prevent malicious down voting taking place on Hive, and removing peoples ability to participate in the Hive Social side.
There are measures in place to prevent some no skin in the game walking in on a surgery in progress. There are measures in place to prevent a no skin in the game, from trashing a skin in the game account, that being the amount and in-ability of a small account being able to in reality down vote and cause damage to a much much larger account.
There is ZERO ability for a no skin in the game account to protect itself from asshole Skin in the game accounts.
Downvoting doesn't prevent someone from participating in the Hive social side. Assuming by that you mean communication. And you can tell from his subsequent comments that the OP knows this. Downvoting is a redistribution of rewards away from one post to other posts. As it happens, I think the current system on Hive is far from perfect, but until we can make improvements, we operate within the confines of the current rules.