Why not? It doesn't have to be balanced. RAM is cheap. You would get an affordable card that can hold a large model and still do inference e.g. 4x faster than a CPU. The 128GB card doesn't have to do inference on a 128GB model as fast as a 16GB card does on a 16GB model, it can be slower than that and still faster than any cost-competitive alternative at that size.
The extra RAM also lets you do things like load a sparse mixture of experts model entirely into the GPU, which will perform well even on lower end GPUs with less bandwidth because you don't have to stream the whole model for each token, but you do need enough RAM for the whole model because you don't know ahead of time which parts you'll need.