To be fair, I feel like I, as a human, get confused about what I’m supposed to be doing driving in SF at a rate worse than once every thousand miles.
If it didn't work this way you would be incentivizing operators to train their drivers to take risks in order to hit disengagement metrics which would be bad.
I'm sure unprotected (i.e. no arrow) left hand turns remain one of the more difficult routine scenarios to fine tune. What works in (I assume) Chandler Arizona and San Francisco are probably two very different things. A large busy city like San Francisco simply requires a degree of aggression--Pittsburgh lefts, cutting through fairly small gaps, etc.--that would be inappropriate in a calmer and less busy environment.