How is it different? If you don't care enough about it to even want to do something then that sounds like the definition of 'ok with it'. Even if you theoretically dislike it.
(If you do in fact want to do something then pick the 'too difficult' option.)
If you're picking both, the only addition of this new option is a 'told you so' attitude. It's unrelated to a poll about what you're doing and why. I don't see any reason for this new option to exist.
I'm not changing anything because I already assumed all of my data was being monitored anyway. Therefore I've been keeping my important data under my control away from these services and companies so there is no point to change as I have already assumed I could not trust them and have already taken all the steps I can to protect myself.
(If you do in fact want to do something then pick the 'too difficult' option.)