If you read through the discussion on the Python forum, one of the counterarguments to the PEP is that "If existing tools can already support this, why do we need a PEP for it?" But presumedly a PEP would help push the ecosystem to accommodate __pypackages__, and to solve the aforementioned problems (like broader editor and IDE support).
For what it's worth (as someone that builds Python tooling full-time): I'm generally a fan of moving to a node_modules-like model.