"What's the alternative? SMS 2FA is abysmal."
It seems to be forgotten that email 2FA exists.
I can't quantify the risks relative to SMS 2FA because there are such broad ranging implementations but given the broad adoption of gmail, how many people can really snoop unencrypted email traffic at backbone chokepoints ?
There are many cases where I would be perfectly happy with the risk profile of either SIM swap attacks or email interception.