A company that wants to remain secure would have to employ strict restrictions on installing software. Only installing npm packages and plugins from an internal preapproved repo for example.
You regularly run tons of untrusted code when visiting websites. That code can't wreak havoc on your machine because it's well-sandboxed. Yet, if we advocate for sandboxing in more places, the "gun nuts of tech" scream about monopolistic practices and taking away user control.
At this point I try and get the most done with the least amount of extensions period. That and trying to get the rest of my code off of Github is the other.