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Related: Why exactly has every person >60 years old started wandering around in public having loud conversations on speaker phone?
Hearing problems. Easier to listen with both ears.
I don't mean to be rude, and I totally understand if it works better to use a speakerphone (some people have ear issues and can't have things pressing against their ears). But if the issue is a phone is only held against one ear, can't you use headphones or earphones that also transmit sounds to both ears?
When someone calls and I expect it to be 60 seconds or less, I don't wanna go fumbling in my bag for 30 seconds to find the headphones and spend another 20 making sure they hook up to my phone properly.
Plus I have epilepsy and my seizures increase when I have long calls with the phone against my face or with TWS earbuds in, which can apparently (and not too uncommonly) be triggered by the type of radiation they put off, even though it's at very low levels. But just 3 inches further from my face and no problems. I know that's not why a lot of people do it, and I still try not to in public, but there are various reasons that someone might.
I'm guessing they were explaining, not advocating. Most people would agree with you that there's another option. Some people are resistant to that, unfortunately, including people I know.
Luckily for me, I already love my earpods. So, I'll be covered when my hearing starts to go.