I think another factor is that while the primitives for modifying readtables made it into the standard, an interface for using them in a way that limits the changes to the code you own (and not, say, additional libraries you load) is something that the users had to come up with.

It's not a lot of code or too complex to do that, but it's not obvious either and some people got it wrong or do it differently and I think that made reader modifications less common than they otherwise might have been.

I haven't looked too closely at the details but some of cl21's changes look like they might try to address this issue.