The thing is, design is supposed to mean "how it works" (and not just fonts, etc.); they're just not designing anymore. When Jony Ive once said in a video that things should look like they haven't been designed, I thought "yeah they sure look that way, they're crappy now".

I shouldn't have to turn on half of the Accessibility settings to return to what I'd consider a normal interface, either. (And the real problem with any non-default setting is that many apps clearly don't test with that; e.g. with the "bold" or "larger" font settings, a lot of things start to truncate or just not lay out as nicely.)