Imagine an investor who owns $100,000 of SPY. Therefore, they own roughly $12,000 of Apple and Microsoft (together, they account for 12% of SPY)
If that same investor thinks Microsoft and Apple are at their long-term peak, the investor is forced to hedge against their own positions in those stocks because they can't exclude them from their SPY holdings.
I held a lot of PUT options and was shorting TSLA stock in 2021/2022... meanwhile I also owned a lot of TSLA through my index fund holdings (I would have much preferred an ETF that excluded TSLA, rather than owning TSLA via SPY and actively shorting the TSLA position simultaneously). This is something I did in the past, and my gains would have been higher had I had a way to remove TSLA from my index fund holdings without spending money on PUTs or shorting.