Second, CTOs have the picture of manually keyed DNSSEC from 2000's (which was a nightmare) because this is when they usually stopped having hands-on experience with technology. They never heard about DNSSEC inline signing or ACME.
Third, large orgs frequently use "large" managed DNS providers, which suck at implementing "bleeding edge" technologies such as DNSSEC and IPv6. Or they will charge for them as "premium" features.