I think the biggest barrier to 12V right now is the cost of certification. I was talking to one company about a 12V brick a while ago and they said that just to get the UL certification increases the cost of their unit by 15%.
The offset is a much cheaper plug-in board. You then don't need a second board to handle the PCIe power either. Though the connectors for an external brick would have to be pretty beefy. I was imagining an internal unit.
It'll probably end up costing as much as a 19V system but should be able to handle 300-400W internally.