If you want to get rid of this nightmare, Ghostery adblocker have a Never Consent feature that just kicks out any CMP instead of saying no to everything, which as a result prevents advertisers from receiving the tcfapi() response, leading to most ads not being displayed at all.
They have to be explicit because before they were implicit and selling your cookie data all over the place. So legislation says you have to be explicit about your policy and usage.
Too many sites still use cookies in a way that's not necessary though and I'm looking forward to the de-cookification for a lot of things.