The point of the extra bits is to allow the application developer to keep monotonicity in the "not very exotic occurrence" scenario. The purpose is to be monotonic. I feel like you are missing the core concept.
I'm not missing anything, the problem is a lot of people using sloppy wording or mixing up the two modes.
This comment thread is about the guaranteed level of monotonicity. Yes, those bits exist. But you can't depend on them from something that only promises "UUIDv7". You need an additional promise that it's configured that way and actually using those bits to maintain monotonicity.