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Far too many of them must either actively advocate for these changes or don't care enough about the integrity of their own games to voice any concerns.
Maybe they just don't see it as a problem, perhaps? Differences in cultural views mean censorship is an inevitability everywhere--even outside the USA--so why get worked up over it? We censor clothing, they censor violence... maybe they just accept that it's the nature of the world and move on with their lives?