Within the last 5 years this wasn’t always the case since that’s when I last setup a Windows machine and this definitely was not a setting and I had to edit the registry. Trust me that was not my first choice—I would have much rather used a setting like you can on macOS for scroll direction.

Of course that’s not to say macOS is perfect either. Sounds like they are just now getting around to adding a setting for mouse acceleration. Now, this has always been possible with a “simple” (when compared to the multiple registry edits I had to do on Windows) terminal command—no need to resort to a an additional utility as you imply. Obviously both of these “hacks” as you say are not anything regular consumers are going to be able to do.

With all that said, macOS is closer aligned to how I would do an OS “out of the box”.