I've had unlimited PTO at 4 companies and 3/4 were truly unlimited. I've taken an international trip for 14 days every year + 5-6 days off for 3 days weekends + any fat hoidays like taking off Christmas eve. I'm sure there are shit companies but it seems like most companies respect it.
I feel like the onus is on the employee to ask off. Most people are just too afraid or too much of a workaholic to take off.