In lighting, as well as most engineering, there are compromises.
In lighting, a few features that I can think of are safety, efficiency, item cost, longevity, power factor, colour rendering, evenness of illumination, flicker, ability to be dimmed, start up time and the ability to handle some leakage current without glowing or otherwise misbehaving.
Take your pick, but the best for one won't be the best for any the others. It's always been like that. Many years ago low pressure sodium lights were used for street lights. They were good on longevity and efficiency, but initial cost, colour rendering and start-up time were terrible, so they were never used for indoor applications*.
LEDs are vastly better than incandescent, and better than fluorescent, for efficiency. That doesn't immediately make them better for everything, and badly designed LED systems can have bad flicker (some VW tail lights are terrible for that). Improving any other feature will tend to make the efficiency worse, but from the worst LED flicker to the best doesn't mean a big fall in efficiency.
The OP mentioned PFC. That is surely adding cost and loss of efficiency to the design. PFC is all about not upsetting the mains supply. Lack of flicker is all about not upsetting the users. I may be only some people who are sensitive, but the PFC is only useful in some applications.
* Where I used to work we had a low pressure sodium light indoors because we wanted light that was dominated by a single wavelength, and we had to shade out the room light where we were using it.