I find that some clothing designers, specifically those using Marvelous Designer are among the worst offenders through no fault of their own. MD generates high poly garments, much more so than needed for a game engine. Unfortunately, to keep using that program and still be poly friendly, a designer would have to learn how to retopo in a program they're unfamiliar with and that's likely not going to happen. I agree with a lot of the previous sentiments that items were imported into SL with little knowledge on the subject. A lot of full perm builder kits are just that, items brought in from other sources and not designed for SL....now people buy those kits and flood the grid adding to the poly count flood.