Look, most people around the world are not full time fans and only tune to the national final in their country or the world cup. But in any country where soccer is popular, the basic rules are something everyone knows from kindergarten.
It's the same way that Americans know what pitchers, catchers, and batters are in baseball even if they've never picked up a bat or a glove and only go to baseball games to eat hot dogs and get drunk on overpriced beer. Soccer has two halves like baseball has nine innings,a nd the vast majority of people do not want to mess with that.
A secondary reason that they don't want to mess with it is the perception that these hydration breaks are not organic (because it's always been acceptable for players to grab a drink fo water and there are ample opportunities to do so during a regular game), but that the breaks were imposed on the game to facilitate ad breaks in American TV broadcasts. Much of the world is tired of doing things differently just because the Americans want it.