Is this an actual issue? Most people don't seem to care when talking about random UUIDs. The target platform of our applications is mostly Kubernetes on cloud environments, if that makes any difference.
Why I'm asking: UUID Version 7 looks quite interesting to me, and the document describes rand_a and rand_b just as "pseudo-random data"... which made me think that in the context of "uniqueness per millisecond", a source of entropy is conceptually not required. However, chapter 6.6 clearly advises the usage of CSPRNGs, so I guess the overall problem remains :(