If you can't get access to a payment provider, you can't launch a business effectively.
Sex workers face this problem. Even in countries where sex work is legal, the payments industry refuses to deal with them (in part because the chargeback rates are high for these kinds of transactions). They're forced to deal in cash and have all sorts of problems because of it (not least the fact that depositing large amounts of cash triggers money laundering regulations, and doing that too much can cause a bank to close the account).
Sex workers face this problem. Even in countries where sex work is legal, the payments industry refuses to deal with them (in part because the chargeback rates are high for these kinds of transactions). They're forced to deal in cash and have all sorts of problems because of it (not least the fact that depositing large amounts of cash triggers money laundering regulations, and doing that too much can cause a bank to close the account).