A RAID system can only reliably recover when an IO error is reported. In this case, it can assume which element of the stored data is no longer trustworthy and use the other parts to reconstruct it. A RAID scrub operation that finds inconsistencies, without a reported IO error, cannot really determine why it is inconsistent. It doesn't know which element is corrupt and which other elements to use to reconstruct it.
In effect, ZFS adds another data integrity layer over the physical storage, so you can have a lower probability of silent failures where the disk controller or IO channels do their own "parity" or other checks and report a successful read when they actually returned corrupt values.
Something like mdadm or LVM would need to add a new layer of checksums over the physical devices to provide this level of protection. Each block/chunk/stripe written to disk would need another integrity checksum written as well. During operation, these checksums would be verified before deciding that a read operation was actually successful. If the verification fails, a virtual IO error is synthesized to flag the read as bad, so that the other RAID recovery techniques can then be applied while knowing which block/chunk/stripe is invalid.
Obviously I moved off the RAID6 soon after, but this is a powerful example of why the checksuming of ZFS is so useful.