I am not sure what running a diatom filter a few times a year has to do with anything, but if that is the secret, why doesn't everyone do that instead of going nuts every time they add a fish.
Yes. I have been asking for decades on this forum, Reef Central and 4 or 5 others and so far, I have not even found one old, fully quarantined or medicated tank where the fish are healthy and possibly spawning and dying of old age. No one here has one, do they? We are talking about a hobby that started in 1971 so a lot of tanks were started. Where are they?
I have posted quite a few times how stress shortens the lifespan of a fish and that proof was from Neurologists, not hobiests on a fish forum. I have shown how the telemeres in every cell on every living thing allow a creature to live out it's natural lifespan and how it shortens through medication and quarantine thus shortening it's lifespan. I just posted a thread on how that happens.
You can't get around that and it's science, not just the ramblings from an electrician.
Here is how you prove health:
I got this Watchman gobi as this baby.
I got another one and they stayed together constantly with a pistol shrimp

Their eggs are above them
They laid many eggs, as only healthy fish can do.
Got old and fat.
Here he is dying of old age 10 or 12 years later
That is the entire lifespan of a pair of simple Watchmans.
Also, only fish in the best health can spawn. All female fish fill with eggs if they are healthy.
Pregnant Ruby red.
Blue devil eggs in 1972, maybe the first salt water to spawn in a tank.
About 30 year old fireclown tending eggs
Annoying clown gobi with her eggs above her killing my acropora.
Spawning Mandarins
Healthy fish spawn "constantly" every couple of weeks for most fish.
I could go on but you get the picture.
Fully quarantined or medicated fish have a very hard time filling with eggs because they don't have a functioning immune system. It is simple and not very complicated. We make our fish sick not the wholesaler. It is our practices, our food, and our aquascape. These things done correctly will keep our fish living for their entire presumed lifespan.
It is not quarantine or medication that does that as they don't get medicated in the sea. But what the sea does provide is a stress free environment for the most part with the proper food containing the right gut bacteria.
Many people get the wrong idea about my method. I purposely don't medicate or quarantine to insure the long term health and lifespan of the fish, not the opposite. It is much easier to quarantine or medicate something than to get it healthy naturally.
We can keep a cancer patient alive for a long time in quarantine using drugs, but that is not really living