The downside is that the tail rotor is purely loss.
Potentially a similar efficiency could be achieved with two large rotors, but then you end up needing to use cyclic roll to counter drag-induced cyclic yaw, or adding extra pitch mechanisms on each motor mount to make differential yaw.
We have some times very good intuition and ideas.
The reason the earliest rotary wing aircraft took this configuration is because where was no other choice with the technology of the time. They had to pick the most efficient option for it to be cost effective and have useful capacity.