The only one I've thought of since writing this is to have a separate AWS account and link it as a sub account for billing. Solves someone shutting down your main servers, but still means they can spin stuff up / use lots of cash. This would be a massive pain for us as we'd loose our worker pool. I could do it the other way, move our infrastructure to a new account...but that sounds equally painful.
I would like to see IAM as well, but I would say that the solution right now is using a seperate account and using AWS MFA:
A new account doesn't have all AWS services enabled by default, so the impact seems minimal to start with. Not sure if you can lock this down further as I haven't looked into it.
All in all this is not perfect, but "securer".
What is the work-around/alternative? Well written post.