Is there a reason Bite The Bullet doesn't stifle your sounds when being healed ?

I've been messing around with Bite The Bullet for a few days, and it's been a bit frustrating to notice that :

When healing someone, both your sounds are stifled.

When healing yourself, your sounds are stifled.

When being healed, you're still loud as all hell !

It does not feel very coherent to me. Is there a reason it works that way ?

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