A lot of it seems to stem from the fact that most heat pumps operate poorly or inefficiently below about -10C (some higher than that). The fallacy that lies behind the inertia seems to be that "if you can't use it exclusively, you shouldn't bother at all". Since there's a non-trivial number of days below -10C where I live (about 1078 hours spread across 89 days here last year), it's considered frivolous.
Of course, because we build our houses to hold in as much heat as possible for winter, now that it's getting over 20 and 30 a lot more a lot more people are buying AC, which is all of a heat pump other than a reversing valve, so to me it seems silly to NOT get a heat pump for the like 200+ days in between peak heat and peak cool seasons.
Further, in many cases, the heat pump wouldn't keep your house warm during the coldest period of the year, which meant you still needed a heater. Not a huge deal since you probably have an AC for the summer anyway.
The issue as I understand it, was that the thermostats were not smart enough to know when to quit and so a heat pump would run until it literally could not keep up with demand, when it should have instead switched over to gas heat some time earlier than that when efficiency dropped.
Modern heat pumps deal with all these factors to the point that I expect them to become standard fare as current ACs get upgraded over the next decade or two. I know that if we ever need to upgrade our AC it will be replaced with a heat pump.
And there still is. Even now I'm talking to an hvac guy who seems generally knowledgeable and even he said something to the effect that "there isn't any heat in the air below -10" which is just not true at all. It's less efficient to pull it out for sure, but there's always energy to suck out of air.
Anyways, like I said, even up here where people barely know heat pumps exist there's still over 200 days of the year where even a shitty heat pump would do a decent job. Still people argue it won't get used.
(all of this is ignoring the fact that we should be doing even moderately expensive things to get off using natural gas if we can)
I live in the Pacific Northwest and when I wanted to swap out my furnace for a heat pump, a few vendors aid that they don't install heat pumps, they could do a furnace or A/C, but not a heat pump. I have no idea why that is, I figured that heat pump installation is nearly identical to A/C. (I still use a furnace for emergency heat as I wanted to be able to run from a small generator if needed)
The heat pump + furnace replacement cost 2 - 3X more than just a simple replacement furnace, so I can see why someone wouldn't want to spend the money if they didn't need A/C.
That might still not be enough if the local 1% design temp is +5°F and, as a result, your unit is sized to maintain temp at +5°F, so doesn’t keep up for the 88-ish hours per year that your temps are below the design temp.