In fact Contextual Targeting predates the current approaches, but it became less important once advertises/adtech companies started preaching the thinly veiled idea of using behaviourism to trigger conversions/less products.
Changes like this are slow to introduce due to technical and (mainly) structural/cultural issues in the Advertising Industry, but that’s a topic for an entire essay/series of blog posts.
Source: I work in AdTech and deal with privacy/the ethical impact of programmatic, content monetisation models. Opinions obv. mine.