Sorry, I was ambiguous in my statement there. I'm not surprised it's the default, that makes sense for all the reasons you state. I'm surprised this post also recommends "worker" instead of "io_uring" for performance in general. That is different from the impression I got based on earlier blog posts before Postgres 18 was released.
I did a lot of tests comparing the io_method choices, and I'm yet to see a realistic query where it makes a significant difference of more than a couple percent (in either direction). I'm sure it's possible to construct such queries, and it's interesting, but for real workloads it's mostly not noticeable.
At least that's how I see it right now, we'll see how that works on a much wider range of hardware and systems. The github repo linked from the pgsql-hackers post has a lot more results, some charts include results for the index prefetching patch - and there it makes more difference in some cases. But the patch is still fairly rough, it could be a bug in it too, and it changed a lot since August.
My gut is that the recommendation flows from the idea of a portable solution with more controls? That is, io_uring is limited in both target deployments, and in what you can do to adjust performance considerations.
The first is somewhat obvious, with how new io_uring is and how it is specifically a linux thing. I don't think that is necessarily bad. My guess is you can get really good performance with relatively little code compared to other options.
The second, though, is a bit tougher to consider. For one, it will be more code. Managing workers is managing code that you probably don't have on your radar. That said, you have full control over the worker so that you can make different priority work queues in ways that I don't see how you could do with io_uring.
My guess is both will look about the same with real world workloads. Worker is certainly more predictable which is safer in general. That said, I appreciate the callout about signal throughput on workers (fewer connections farm to more processes vs each connection getting its own io_uring setup with upper bound being the throughput for a single process). Again, I doubt it makes any difference for 99.9999% of apps out there.