USB-PD has bidirectional communication, so at least in theory both ends could know how the cable is performing by comparing voltage and current measurements at either end.
If the cable drops too many Watts, the load can be disconnected.
As I've commented elsewhere, I wonder if, at that point, there still is that much of a point in sticking with USB-C for what seem like fairly specific applications.
I mean, if we're at the point of carting around such a monster of a laptop, will an additional, dedicated, power-only connector make that much of a difference? Don't get me wrong, I'm actually somewhat tempted by such a thing, but just because it would be easy no move around, not for actually carrying on my back all day every day.
There are some mitigations though, like the cables must identify what they can handle (else the high current modes can't be used), and both ends needs to verify the plug and cable etc.
In theory though I don't see why they couldn't include this in the standard.
If you buy a fake cable that pretends to have display-port alternate mode or something but doesn't, meh, you're out 10 bucks. But if it pretends to be able to carry 200 W but isn't and burns your house down instead, you might be out a tad bit more...