There are already huge conversion blocks outside the PSU. That's why they figured there's no need to keep an extra one inside the PSU and run more wiring everywhere.
Your CPU steps down 12 volts to 1 volt and a bit. So does your GPU. If you see the big bank of coils next to your CPU on your motherboard, maybe with a heatsink on top, probably on the opposite side from your RAM, that's the section where the voltage gets converted down.
Those are actually at the point of use and unavoidable. I mean extra ones that convert to 5V and then send the power back out elsewhere. All those drives and USB ports still need 5V and the best place to make it is the PSU.
Why is the PSU the best place to make 5 volts? In the distant past it made sense because it allowed some circuitry to be shared between all the different voltages. Now that is not a concern.
We already have a new PSU standard, it's called ATX12VO and drops all lower voltages (5V, 3.3V), keeping only 12V. AFAIK, it's not seen wide adoption.