Sure, there are workarounds, but in a UI, the defaults should be sensible, because the vast majority of users never see anything other than the defaults. Unfortunately, it is arguable that on many sites the defaults just aren't sensible.
YouTube's "see all" comments button, for example, doesn't load the comments inline with ajax, but instead loads a new page in the current tab, losing my place in the video and my buffer. (At least the paginated comments are ajax now.)
if I don't want to leave the page, I'll middle click. Can't remember the last time that did not work.
Middle-click has never worked on my laptop trackpad. (Also: posterous' lightbox script is borked)