Some people find the live preview uncomfortable.[1].
It also might not be entirely useful if you are on a slow connection. For this reason Realtime Preview automatically disables itself if it detects a slow connection. See https://github.com/wikimedia/mediawiki-extensions-WikiEditor/blob/master/modules/realtimepreview/RealtimePreview.js#L291
Additionally, there are some accessibility concerns. It could be argued that automatic updating preview is not, but should be, respecting prefers reduced motion settings:
window.matchMedia('(prefers-reduced-motion: reduce)').matches === true
See also: T314787