There are lots of iphone apps from companies I would never trust to install a real app on my computer. I'm glad they exist, and are so firmly kept under control. (And I'm sure their makers grumble about this.)
I also buy lots of things from companies I would never trust with my credit card details.
And while I understand the temptation to complain about a 30% cut, it's not so obvious to me that sellers would make more money under anything-goes rules, in a lower-trust ecosystem.
It's my device! If i want to run some app in the background, I'm OK if it uses battery faster. If Apple wants to show how they care for the battery life of my device, they should show me the warning and stats, which app costs me what, not cut off my ability to run the app in the background at all.
[1] https://www.macrumors.com/2019/08/06/ios-13-voip-background-...
Phone apps were a new art form, quite unlike 90s programs. Both had serious resource constraints, but trying out a badly written iphone app couldn't result in being unable to make a phone call that afternoon.
This convenience is only available to me because there is a large customer base which companies can't access any other way.
They have varying reasons for wanting an iphone, each of which alone would not (I think) form a big enough pool to persuade companies to listen. Or the privacy conscious are tempted to make an exception when (like OP) they badly need something to work right now... or just don't have time to vet every company... and divided we fall.
And I'm happy to pay for this. I probably spent double what I would have paid for an android phone. I have not spent close to that much again on apps. But the difference between $5 and $10 inside the app store is (for me) much smaller than the hurdle of having to go to some other dodgy payment gateway & give them my card.