HP-bloat does have the benefit of ensuring combat won't take too long, so it's not just about avoid save scumming at least.
Well, HP-bloat makes combat last longer and drags it out, really. As the only thing that it accomplishes is that you have a chance to hit more, but that is off-set by the fact that everything takes more hits to go down. And you still can miss. Not only that, spells lose some Oomph. Control spells like sleep and colour spray affect less enemies and damage spells make less of an impact. You need more spells to take down an enemy generally. The HP-bloat is one of the reasons combat is such a slog to go through right now.