The solution to that is to only request extensions when they're needed, and to give users prominent options to grant access "only once" or to revoke access (both of which should be undetectable from extensions without extra work).
This isn't perfect, but it comes with some advantages. It's more work for an extension author to check for the permissions than to just write their application logic normally. This means that the lazy authors start coding their apps correctly (just try to do the thing and let the OS handle asking for permission), and only the malicious authors are left nagging for permissions early.
If you have more legitimate than malicious app on your platform, you can at least sort of train some users to think what the malicious apps are doing is weird. If most of your apps don't ask for permissions up front, then the ones who do start to look weirder.
If I go to a website, and a permission pops up asking to access my webcam, and I didn't do something to make that permission pop up... that is really weird and I'm going to click 'no'. And when I click no, if the website wants to be cranky about it, they have to write extra code to hide whatever content is already loaded and pop up a dialog complaining. If I click OK and then immediately click a button and revoke that permission, they need to have even more code continually running in the background to detect it.
Again, it's not hard for a malicious extension/app to do that, it's just that only the malicious extensions/apps are going to do that. So it becomes easier to educate users with simple rules like, "if a site asks for a permission that's unrelated to what you're doing, always say no." It also becomes easier for users who are already careful about permissions to be paranoid and grant them carefully, because they don't have to decide up-front whether the app is worth installing -- they can decide later on whether or not they trust it to have access to something.
Part of having fine-grained permissions is in getting rid of what I call the Terms of Service version, where you just stick anything you might ever want inside of a manifest and then users either accept everything or the app doesn't install.