Anyway, as is so often the case, it's about the whole ecosystem not just of tooling but the ecosystem of assumptions about & around tooling.
As I mentioned in my other comment, if you want you can always cc -E and re-format the code somehow, although the main times you want to do that are for line-by-line stepping in debuggers or maybe for other cases of "lines as source coordinates" like line-by-line profilers.
Of course, a more elegant solution might be just having more "adjustable step size/source coordinates" like "single ';'-statement or maybe single sequence control point in debuggers than just "line orientation". This is, in fact, so natural an idea that it seems a virtual certainty some C debugger has an "expressional step/next", especially if written by a fan more of Lisp than assembly. Of course, at some point a library is just debugged/trusted, but if there are "user hooks" those can be buggy. If it's performance important, it may never be unwelcome to have better profile reports.
While addr2line has been a thing forever, I've never heard of an addr2expr - probably because "how would you label it?" So, pros & cons, but easy for debugger/profilers is one reason I think the parameterized file way is lower friction.