Most people aren't techs so they want lower price and KISS, Keep it Simple Stupid, VOIP. Install a phone modem and it works. No QOS tinkering or tinkering with the computer's settings to make it work. People want the plug-n-play VOIP the cable outfits in the USA are offering.
Yep. Nobody wants Vonage and setting up QOS and have jitter during evening internet rush hour on their congested cable node.