I guess we have the "Practical" vs. the "Absolute".
In absolute terms, a 100% fully balanced stage has the theoretical advantage.
However, in practical terms, a 100% fully balanced stage is not necessary.
As you mentioned, the most important thing is that balanced Input on the amplifier.
I guess people could use those XLR-male-to-RCA connectors and connect the unbalanced Outputs of their pre-pros/receivers to the balanced Inputs of their amplifiers and get the same "practical" results.
Or connect their half-balanced Outputs to their full-balanced Inputs.