Big ones detect it, so they don't care to sue. Small ones benefit, so they don't sue.
This is your main protection, there is nothing to squeeze from a single guy. Even if you get him to pay you back the fraud, then what ? It costs more in legal fees.
Still, it's such an odd concept to self-inflict yourself such; it's way better to just block the ads than to be tagged as a bot and get Recaptcha-ed or Turnstiled more frequently.