“Accessibility service permissions” is a higher level of permissions than most apps get and Android will be all like “bro, are you sure you want to grant this app that kind of access and control? You really sure?” I’ve got a few apps on my phone with that level of permissions including one written by Google. They’d simply be unable to do their job without that level of access, jobs which have been straight-up good for my physical health. Ultimately there’s a balance between security and letting the user do what they want.