The voltage is high enough. The way Facebook's solution is, is you have triplets of racks: left, right racks hold computers, middle rack holds network, power distribution, and UPS.
The computers have extremely simplistic power supplies that basically can't fail, and just DC->DC transform from 48v to 12, 5, and 3.3; and the large scale power supplies that convert three phase 240v (or whatever you're supplying it with) from the datacenter to 48V are much higher efficiency than the ones that would have been in the server (which you would have fed them, usually, something like single phase 208v).
Redundancy is supplied by just hooking multiple transformers in the middle rack to the + and - terminals on each PSU, instead of a convoluted multi-module redundant PSU (which always uses a single backplane, and backplanes in redundant PSUs fail surprisingly frequently).
The total round trip efficiency of this system is about as high as you can realistically get. 80Plus Titanium is 90-95% efficient (depending on load), but has efficiency losses in rack level distribution which 48V tries to correct.
However, 48V DC can be very dangerous to work with, and a lot of tech workers refuse to work with it. Now, if you believe it is dangerous or not (I've seen arguments stating that it is no more dangerous than single phase 208v) is immaterial, this is the opinion of a lot of workers.
The cost of 48V gear is expensive if you're not in a datacenter already setup to handle it. Facebook obviously doesn't have this problem because they build entire datacenters from scratch.
I personally don't believe in it because it doesn't buy me anything that single phase 208v doesn't give me, I do not pay enough in electricity to have the overhead of dealing with it.