In some cases, tech debt is as small a threat to business continuity as IT security is. That is, it isn't a problem till it's suddenly a massive problem. In other cases, it causes development cost to slowly increase over time, at which point it depends whether the organisation/cash flow can bear it. Your proverbial moat, or perhaps corporate momentum.
I would question whether incurring tech debt is generally really part of a greater strategy at the organisational level. It's a symptom of myopia. In any place I've worked, it wasn't a balancing act, but rather being willfully ignorant about the application lifecycle, technology, security implications and knock-on effects. No one said "let's move fast and fix 'er up later". At least not in earnest.