Here's the thing. While most people on HN tend to be in the global top performers when it comes to IT, the vast majority of businesses are simply ripe, low hanging fruit just waiting to be breached, and almost every time it is because of a failure of management to understand the importance of those things. Way too many 60 year old men who barely know how to use a computer are at the top of orgs, and are stuck in the janitorial cost sink fallacy of IT. I also put a lot of this on the heads of IT directors or senior sysadmins, who are failing to convey the importance of the matter to those C-levels in terms they understand.
I have learned this the hard way, having started up an MSP at one point and done a lot of contracting to help orgs unfuck their infra, I have seen it all first hand, from 5-30 person lawfirms to fortune 500 oil companies to unicorn startups. I have been the senior sysadmin who failed to convey things in a way the got through C-level thick skulls, and most of my career trajectory has been angled towards keeping up with the sysadmin transition to devops while learning how to fill that gap so I don't repeat those mistakes. I've failed multiple times, but each one is a lesson I learn from and try to apply to the next place, and sometimes C-levels literally just don't care and can't be reached, and nothing happens till a major breach or lawsuit costs lots of money.
To me, this is the importance of the CTO/CIO roles. The problem is, again, the vast majority of America isn't SV. I would say ~%80 of companies I saw didn't even have those roles, and if they had someone in that role but without the title (like IT director), they often didn't have a seat on the board or any real influence with the C's. I have also seen those roles taken by people who should be in other positions but enjoy the "C" title too much, to the detriment of the org.
Sorry, this got kind of ranty, but it's an issue I obsess over in trying to find better solutions for. Basically I'm learning how to hack management instead of computers these days.