I also don't want "random" programs accessing my home folder. That would be terrible! Who knows what programs that could be! I do however want the very specific programs that I have intentionally installed to be able to access my home folder easily. Same for extensions.
The goal here isn't really to protect me from extensions. Extensions don't do anything on their own, they just sit there and wait for me to install them. So the goal is apparently to protect me from me (installing an extension), which really is to say protect their business (ads) from me (blocking them).