I'm a bit confused about that. Doesn't their algorithm take the user's profile into account?
Those concerns are completely unrelated to their algorithm. I doubt they want to maintain many Youtube UIs.
That is the reason why AdWords location targeting is kinda broken currently (at least on non-mobile devices it relies on IP geolocation). If one day AdWords start serving geographically correct ads for everyone, that's the day when the ad people got access to account data.