It's a low priority for most people, costs more than you'd think if you don't DIY. OEM radios tend to have pretty good ergonomics anyway.
Most early 2000s and older stuff has a cassette deck anyway so a $3 adapter lets you plug in your phone.
I'm appalled at the UI for radios these days. Obviously feature overload has a lot to do with it; I wish someone would make opinionated car stereos like Apple does for other consumer tech. "You don't want this feature because the tradeoff is more complexity."
Relative to what a person can handle while driving, there's far more potential complexity, and as with nearly all things electronic, spec sheets/feature lists often trump common sense limitations.
Its a cheap extra luxury at the poor person level. Much like very expensive tennis shoes are a thing in their culture.