I find it hilarious that the ESRB is getting scourged for being the wall against child exploitation. This is merely the electronic form of tobacco, and alcohol prevention. The problem was and still is that these corporations are trying to market their products towards under aged consumers. Thus we have independent boards that have the purpose of trying to prevent this. The ESRB is no different.
The console market was and still is to a large part based around the child or teen consumer. The controllers have small buttons for a reason. The games that are violent or mature in nature are actually advertised towards young children that are easily manipulated into the purchase for the violence and the mature situations. These are not geared towards adults. They look adult to attract children.
Parents sadly do not appreciate ratings in the least. They merely buy what little Johny told them to buy. They would not buy smokes for their kid, or alcohol. They would not set up Johny with a playboy subscription. However they will let Johny play a game where he gets to rape women, solicit prostitutes. Murder the innocent. Torture the innocent. Someone has to take up the slack of incompetent parents. Someone has to protect children. Especially since children are being vigorously courted.
The ESRB is not keeping these games out of your hands. The console manufacturers are. They do not allow adult games on their systems. They do this, because they are selling explicitly towards the youth market. There is no adult console yet. Once there is a adult console this will not be a problem, and with the sku differentiation there should be one at some point.
This being said the developers gripe, because they want to create graphic games for small children. They are not griping about the console manufacturers blocking adult games. They know ultra violent mature games sell better to children. The more graphic they can make a game the more units they will sell. Yes it is that insidious. Consumers gripe ignoring the fact that this is a child welfare issue. You are playing with children guys you need to accept that their welfare is more important then a lust for blood.
You want Adult games on your console you have a say in that. You are a customer and especially if you subscribe to a service you have some say. Petition Microsoft, Sony, and Nintendo to permit AO games on their system. Present a plan to keep those games away from children. I think it can happen, but many adult players are not making themselves heard.
The truth of the matter is the ESRB is the good guys looking out for child welfare. Game designers are often looking to exploit those children. They are like predators taking advantage of naive parents. We might need manufacturers to split the markets apart at some point. This is the argument that nobody is going to bring up especially since it is far from self serving.