A start-up may very well change a person more than spending the same time at a job would, but to compare it to going through war shows an incredible amount of naivety about how horrible war actually is.
Sure, war can change a person in ways that a start-up never will -- if a soldier loses a limb for example. But do you really, honestly think that andrew was trying to imply that start-up founders might lose limbs? Or do you think he could have been just speaking to the point that the constant stress and frequent highs and lows of running a business can have a powerful effect on someone's personality?
There have been a lot of threads recently on how to improve HN. Here's a good one: let's try reading other people's comments as charitably as possible, and respond to that, instead of imagining a point that they weren't making and then arguing with that.
He said "blood". I think you are not understanding the unfounded discourse of the comparison.
Over 2M US soldiers were deployed in Iraq, with ~4.5K deaths and ~21K wounded, a rate of 0.002% for death and 0.01% for wounding. Significantly higher than the rate in start-ups (I presume), but lower than climbing Mount Everest.
And the stakes are pretty high: lose lots of money and possibly your spouse divorces you.
I have personally ended-up in the hospital with intense palpitations due to a combination of stress, lack of sleep and dehydration all as a result of business issues. There's nothing wrong with me or my heart, today I regularly swim 1500m and participate in Master's competitions and training. Over time I learned to deal with business stress in various ways (swimming is part of it).
So, yes, it isn't military service but don't make the mistake of thinking that stress-related disorders --and even death-- are monopolized by soldiers.