I think that most if not all of our users understand how it works, and many choose to use another email address.
It takes a few seconds to create a gmail address, which would not affect offer conversion whatsoever.
Also, we certainly avoid offers that subscribe a user to thousands of other lists...that's absurd.
I'm sure I've done CPA for longer than you my friend, and I certainly don't share the same level of pessimism. Neither do our thousands of happy users

ROFL @ You avoiding offers that do this and do that. Like they tell you on how many of their customers opt-in lists they'll use the data
ROFL 2 @ Your users understanding how it works. If they did, they wouldn't touch CPA offers with a 10foot pole