I was working in the industry at the time and people absolutely talked about the implications of microtransactions and how it would result in more expensive games and being nickel and dimed.
Like, I distinctly remember conversations with actual human beings from exactly the horse armor DLC and maybe we didn't think it was going to result in, say the online shooter battle pass formula exactly, but we without ambiguity understood that meaningful in game items, and things like levels / experience would be monetized.
The biggest shocks to me were how patches would be used to reduce the game testing cycles, enabling companies to print incomplete or broken versions of games, requiring day one patches.
It's a disgusting practice now, and it was then too.
The conceptual framework is entirely different though. It's regarded as a treatment for homosexuality at worst, or at best medical treatment of a birth defect.
Iran isn't a hub for transgender surgery because they have the same idea about what transgender means as the US does, it's more like they accept the idea that some men were supposed to be born as women and they concede it to be a medical issue that demands treatment.
My words aren't explaining it the best, but I'm familiar with the mentality and the ideas that prop up that mentality.