people on another HN thread yesterday literally were bitching about the cost (not safety - cost) of a $1 adapter being "forced" on them by NVIDIA and now you want to tell them they're gonna have to buy a whole new PSU? that's gonna be quite the comment thread.
but yeah you're right in general, gotta move to 48V to move forward, pushing infinite amps at low voltages is completely bass-ackwards. The pcie-add-in-card form-factor needs a rethink in general, the GPU is now the largest and most power-hungry part of the system by far, and power isn't the only problem imposed by that ancient AT standard. imo we should move to some standardized "module sizes" for GPUs so that we solve GPU sag and cooling at the same time.
the "pcie card" of the future should be a 12x6x4" prismatic module that slides on rails into a socket that provides a PCIe edge connector as well as a XT90 jag (or similar) for power, at a defined physical location, with 48V. Airflow should happen in a defined direction and manner, whether that's axial flow or blower-style.
also please for the love of god, hot air rises, the AT standard means axial coolers are pushing against convection. But we couldn't even get BTX to take off, which is a trivial modification of ATX to reverse the orientation and fix this problem, the DIY market is deeply deeply rooted in the 1980s and will not abandon ATX without some nudging. Enterprise and OEM are fine, their volumes are big enough to do their own thing, but consumers are spinning their wheels fighting IBM's 1980 mistakes.
It's gonna take government intervention, the EU is gonna have to step in and do it like with USB-C cables. The mess of arbitrary card dimensions slowly growing larger over time is the exact same problem that we had pre-standardization with USB too.