For traditional non electric bicycles, Carbon Belt and Internal Geared Hub do present a small loss of efficiency and extra weight that can be an issue.
But for an electric bike, the assisting power of the motor makes it irrelevant, and the comfort, simplicity, and maintenance gains are well worth it, and a big part of the benefits an electric bike has to offer.
I think there is still a bit of a purist / tradition problem with the industry around derailleur, and for competitive E Mountain Bikes, it may still be relevant, but for the vast majority of E-Bikes, Carbon Belt and Internal Geared Hub are the way to get the full benefit of this type of bike.
Seeing a regular increase of new models providing this kind of configuration, I think people and manufacturers are slowly picking up on that, and the trend will hopefully continue.
The next issue is that, as we will start moving onto more powerful motors than the current 250/350W range, IGH manufacturer will need to address the power limitation of the current IGHs.
NuVinci has recently made a move in that direction with the new N380x that will be launched in September, it would be nice to see the other IGH vendors do the same. But this as usual is a chicken and egg problem, as for them to be motivated, the market first need to move more massively onto these configurations.
Another possible solution would be if new motors would integrate the pedaling gear system, having a non geared drive to the rear wheel (there is no need for gears with a more powerful motor, and would make throttle use easier), but a geared crank for the pedaling assistance.