Is there a technical reason why Akamai don't support this yet?
It seems that it would be in their interests to improve this. Both for a better experience for users and lower latencies from their point of view.
Or is it just that they're big, and it's a complex change?
My guess is that they're not receiving strong demand from their major customers - since they have so many massive users and a long-term code-base it makes sense that they'd be rather conservative.
[1]: http://tools.ietf.org/html/draft-vandergaast-edns-client-ip-...
[2]: http://news.ycombinator.com/item?id=2941948