Compare this to the situation on Windows where people using the native toolkit is a rarity, with tens or hundreds of different UI toolkits in use and even a bunch of totally custom UI, much of which assumes a 90 DPI desktop. There's really not much MS can do about that except make an educated guess about offending programs and try to force-scale them to 2x.
Yes, there is.
The only app that I am using that seems to be able to handle high DPI and DPI changes during runtime is Firefox. Most of the third-party apps that I used (not that many of them) either do not support high DPI at all (and are scaled by the OS), or fully support high DPI mode (with changing DPI during life of the app). So all of them work in more or less predictable manner.
The worst are non-modern applications by Microsoft. They behave randomly, sometimes only parts of application get scaled. The worst offender is MS Office, each app of the suite has it's own high DPI related quirks (Outlooks gets blury, PowerPoint's UI becomes huge).
Also the task bar icons do not expect DPI to be changed during their lifetime :/