Without backups, having a phone die or get lost is a very frustrating experience. If you use backup codes, you have to go re-register 2FA on every account with backup codes. And of course some don't offer backup codes.
You could screenshot and print out the QR code at registration time (I've done this for a few accounts), but shared printers apparently retain history of everything they've printed, so you'd need to own a personal printer, which seems absurd.
You could write down the TOTP secret on paper instead. Ideally with multiple copies and then move them to different physical locations. That's a big hassle to do for each new account registration, which seems to happen every few months.
Encrypted backups solve this easily: you get one key, which you write down once and distribute to different locations if you want. After that there's nothing new to do for new accounts at registration time. And restoring onto a new phone after one dies is also easy.