What situations would make people unable to upgrade to 12+?
In my personal experience: the organisation doesn't invest in a storage solution that offers snapshots/COW (e.g. ZFS or SAN or whatever). Then they wait to upgrade until their disks reach a usage that the upgrade has to be done in-place. Then they become like rabbits in the headlights and never upgrade.
That said, given the performance implications, if someone wants to use PG as a warehouse upgrading to 12 is a no-brainer.