For example, the newer programming environment that's released in most recent history that attempts to do an excellent job at this, Deno, still struggles with basics such as IDE integration for debugging unit tests. It's a struggle.
I've heard the creator of Clojure all but say he has put no thought into package management. Nice language, but it's not worth the cost of having to change how the rest of us work when there's existing environments that address the very basics that a developer needs.