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If she says no, then it doesn't get developed.

That's not how the world works. When she says no, they just find someone else.

That they don't have leverage over the decision-making process seems like a cop out.

No one said they have "no" leverage. Just that those at the executive level have infinitely more.

By that logic, if every dev would face very serious legal consequences, the client could not just hire another dev.

I never liked the "will find another" trope.

The Chinese , after the opium wars, simply executed dealers and users.

Very radical, but you bet dealers wouldn't just find the next user and vice versa

I am for fines for the developers and prison times for the execs. I think both are culpable.

Users could also just not use these apps. Are they not also culpable?

That's a bit like saying heroin addicts simply shouldn't use it, the companies are starving for revenue.