Additionally, the clipboard is often used to copy items within the same application, a mechanism which again can be involved in a multitude of application commands; or else the user must be burdened with having to distinguish between an application-level and the system-level clipboard. This can be partially solved by always allowing pasting of content copied from the same OS process, but multi-process applications would still face hurdles.
Another variation of that is scripting. I have various scripts and CLI aliases that take the current clipboard contents and do something with it.
While the clipboard can be made more secure than it traditionally is, these security measures come with the usual trade-off of making things more annoying for the user.