It adds bulk, but also something else to go wrong, easily broken in assembly, could be broken by G force etc. There are lots of downsides to optical stablisation, lots!
The argument for lens stablisaiton is bollocks, it can't really be shown to be better in lens, unless its very specific to a lens, in which case the in body could potentially be tuned. Having played with it myself on my sigma 150-500mm, which has two OIS profiles, and I've the option of in-body, I can conclude that actually there is little between them, they all work really rather well, and have certain types of use that each works best. (OIS 2 for hand held above 200mm, in body for below or on tripod panning.... for me.).