Not just effort: Impossible.
In Karen Sandler's case, it's very directly a life-and-death choice.
I haven't watched the FOSDEM talk, but her linux.conf.au presentations, among others spell it out.
It's a piece of the broader story told also in part by
https://gizmodo.com/i-tried-to-block-amazon-from-my-life-it-was-impossible-1830565336
It's the story of the Intel Management Engine, of the proprietary radio that controls your mobile device, the software you have to use at school, or work, or to vote ....