there's nothing stopping you from doing this but its a real game changer for an early stage startup to need a new service and the steps to getting that out is one file and an extra line in your config.
Don't choose Elixir if you just love setting up autoscaled k8s on AWS with redis, RabbitMQ and half a dozen shenanigans for a webapp that serves 10 users a day.
k8s solve a different layer of problems, to me they are a complemental tool to elixir when there is a need for that layer, otherwise yes it is completely unnecessary.
I've only used Elixir at small companies, and it definitely feels like a superpower. I don't doubt that the Googlers of the world have no need for the language and runtime, but IMHO it really helps a small company punch above its weight.