Alternative reasons (not mutually exclusive):

• The organization has outdated policies that make delivering changes difficult.
• The systems used in development and delivery haven’t been invested in enough to automate repetitive steps, optimize workflow, and increase safety of changes.

Again, complex changes are obviously going to take more time, but if the simplest changes take significant time or effort then something is wrong.

Based on that logic, maybe reworking it to use ‘toxin’ instead would get it boosted…