With roman buildings that last 2000 thousand years we are looking at survivor bias. Near me there are some roman ruins from a (cheap and small) public bath that are barely distiguishable from a pile of bricks. The are some nearby pre-roman ruins in better shape.
You need to actually reduce draft a bit (often old houses like mine tend to accumulate flaws that the elderly living there before didn't fix anymore.) and use a heating sources that matches.
Having a fireplace is fine. It could overheat the house whilst also keeping air dryer and it's essentially renewable (compared to the alternatives and houses made of more plastic insulation than anything else) if you don't mind air quality dip in winter.
That said i can see how that's no longer an option in places that have drastically increased their population
I love the heat and smell of a good fire as much as the next guy, I'm just not sure it's worth the risk of cancer and respiratory diseases.
Alternatly you could just use an outdoor stove that merely heat exchanges to the inside.
In the UK, within living memory electricity has become widely available, TV has, gas, internet etc etc. and yet we still build houses without the assumption that some cable isn't going to be modified in the wall some how.
There's fairly modern houses that didnt have the 2 courses of brick added to the loft to allow 300mm of insulation to be installed.
We are now building houses with gas boilers, knowing that they will have to be swapped out probably before the life of the boiler runs out. And I bet the radiators and piping aren't sized to make that possible. That the circuit isn't sized for that.
Yes none of this is easier in a 250 year old house, but it isn't harder and 250 year old houses hadn't really changed appreciably for a few centuries so it isn't as if there would be an expectation that you would be installing new things in the wall every decade.