It's not about your simplistic change matching defender-attacker chosen only by the defending coach. It's more complicated than that. Attacking side as also a say in the way the game is played.
True but with the way reverse patient is utilized, this time defense has no say in it. Do whatever you want, force a switch as much as you want, in a real game Yao won't be defending Kobe all game long (and needless to say won't be the primary defensive option on Kobe).
Also a question: I was under the impression that picks, switches etc. were taken into consideration by the game engine. Am I wrong? Does it not take these into consideration?
You can also change the way the center plays for example like during last season play offs series Denver-Utah.
We can also do that here to some extent by training different skills, can't we? Do you want a ball handling, passing big like Jokic, do it. We all know that modern basketball is kinda positionless and often based on roles - like ball handler, wing, rim protector etc. and in my opinion, as of now it is kinda hard to reflect that to BB.
The thing here is with reverse patient you don't assign different "roles" to players, you simply try to find a Yao-Kobe-like matchup that you can abuse all game long.