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@The_Seldom_Killer
It's about how you interact with the bike and distribute weight and forces. With a horizontal top tube bike, you're almost always in a lean forward position, in which case the matter of reach becomes important. With a dutch bike you sit upright and just rest your hands on the handlebars, which are swept back to meet you.
Certainly you could keep adjusting a freakish seatpost and bizarre stem, but the bike will look horrible and handle just as bad. Furthermore, if any of your clients are wearing certain type of ladies clothing, they may be less comfortable with swinging their legs around in an indignified manner to get seated. At least a step-through design would make them more accessible. Dutch bikes are gender neutral so they have that advantage as well.