I've harped on this before: the problem is that the ads if they are fraudulent or harmful in other ways and the companies making money when presenting deserve get their shit blocked. Especially if they can target ads to vulnerable people. These are huge profitable companies that moderate the content they profit of but as soon as someone pays them they turn the blind eye.
Yep, it's a straight up safety issue with all the scam ads. I pay for YouTube premium but sometimes my parents and grandparents don't log in, accidentally sign out, watch it on the browsers, etc that it's safer to block them all. It only takes one to get through and gen AI is not helping.