@Pieter there's also something that keeps me up at night. Here are some coincidences between the constructible world and the Perfect (pun intended) world.
1. H^*_{et} clearly belongs to the constructible world. But somehow H^1_{et} also belong to the second world since it classified line bundles. Now, while H^2_{et} (aka gerbes) are really constructible gadgets, we can also think of H^2_{et} as invertible objects in R-linear categories which should belong to a (higher version) of the Perfect world. There are speculations here that I don't want to make but you should feel free to.