> It seems to me that many programmers don't appreciate that industry practices or regulatory requirements impose quirky requirements on domain specialists that everyone knows are far from optimal but which need to be complied with anyway if the business is to turn a profit or retain its licensure.

I think only those that turn into consulting understand it properly, because they aren't confined into a cubicle coding all day long without direct feedback how the real world actually looks like.

At most there is some feedback coming from ticket management system or the product manager.