Using an extension API breakage as the excuse to introduce them would have made sense, since it also breaks the API. Now they cannot happen until Python 4.
[edited] Something that people often overlook when talking about optimizing python is that the "simplicity" of the C Python API allowed the rich ecosystem of C extensions. GC, tagged pointers, etc... are great, and often used in modern VMs, but they tend to make integration w/ C code more difficult. Without rich C extensions, no numpy, no scipy, no scikit learn, no tensorflow/theano/etc... I am not sure this is completely incidental.
[edit 2] Ah, found the quote I remembered about tagged pointers in ABC from Guido: https://mail.python.org/pipermail/python-dev/2004-July/04614...
1) If you break it, break it for compelling reasons.
2) If you provide a tool to convert, don't make it as awful as 2to3
"We're doing a huge rewrite already, let's pile on more scope" is a recipe for disaster.