If the business prioritizes security, getting to
https://news.ycombinator.com would not be possible. If you want to get to
https://news.ycombinator.com you use a separate PC.
The PC you use with the VPN is never to be directly connected to the internet. It connects to a piece of dedicated VPN hardware. (could be a Raspberry PI with special software or something far more expensive) That PC can use the VPN, and thus get to various computers within the company, but it can't go elsewhere. No other business is reachable.
The company can allocate IP addresses without NAT and without regard for the rest of the world. There just isn't any connection to the rest of the world, so conflicts can't happen.