Also consider this, if someone really gave you guff about it such as a caregiver then I would easily argue that that qualify of life impact from TD is meaningful and can be challenging to deal with, but pales in comparison from the quality of life impact from undertreated psychosis.
Schizophrenia is a spectrum, in terms of how I see it. There are the younger, more functional patients, the middle ground patients, and older/middle age more higher acuity patients. For the last subgroup, sometimes its just unrealistic to both adequately treat psychosis while having minimal SE. With caregivers and patients its always useful to be blunt/honest. Some people don't have full remission from symptoms and experience some AH at baseline, delusions, or paranoia, especially in those higher acuity people.
When you see TD, you address it however you can. Sometimes you just cant address, sometimes you can. It is an inevitable part of psychiatry really. I partly blame poor prescribing habits from inexperienced providers trying to take on the role of psychiatrists despite no real formal training in this. I think that has a decent amount to do with it.
I dunno, pick your poison i suppose. Psychosis, TD, metabolic issues. You dont have to be forced to have three but you're going to leave with at least one sometimes.