Modern construction is insanely "tight" in the sense that most of the inside air stays in and most of the outside air stays out. Some of the most energy-efficient buildings need convoluted ventilation systems to prevent the humidity from getting out of whack and causing mold.
My older house might leak conditioned air like a sieve, but it's also venting away the various VOCs from whatever cheap crap I have recently brought inside.
AFAIK, the ventilation systems are only convoluted in the sense that they use a heat exchanger to minimize the temperature difference with the incoming fresh air. It’s not a hack or afterthought: The idea is that airflow is very important, but it needs to be controlled to maximize energy efficiency.
Relying on passive ventilation that wasn't designed as such is also not a good way to achieve removal of these nasties. You can see that if you open a window when you have high CO2 - it doesn't drop at any speed.
Relying is the important point. Sure, it may be fine, but it often isn't, and probably is uncomfortable in winter. And that's before we get to energy losses.
My older house might leak conditioned air like a sieve, but it's also venting away the various VOCs from whatever cheap crap I have recently brought inside.