Almost all of the complexity of PoE is fundamental. To get enough power over 100m of ethernet cable (10x longer than USB) you have to run at much higher voltages like 48V. The same has eventually come to USB: for USB-C Pd to reach 240W, it also has to use 48V.
There have long been lower-voltage "passive PoE" systems which expect a lower always-on voltage on some of the ethernet pairs (usually 12V, 24V, or rarely 48V), which can be very easy to implement so long as your users can handle the setup and incompatibility with other ethernet devices (in the most extreme case of passive PoE on 100Mb/s ethernet, you simply connect the positive pair to the input of the device and the negative pair to the ground, no additional hardware needed).
There have long been lower-voltage "passive PoE" systems which expect a lower always-on voltage on some of the ethernet pairs (usually 12V, 24V, or rarely 48V), which can be very easy to implement so long as your users can handle the setup and incompatibility with other ethernet devices (in the most extreme case of passive PoE on 100Mb/s ethernet, you simply connect the positive pair to the input of the device and the negative pair to the ground, no additional hardware needed).