I can't tell if the lack of strings and DOM API interop in web assembly is on purpose or not. If it is on purpose, what an absolutely diabolical way to ensure javascript language dominance in the browser: give people a way to port their language to the browser, but make it incredibly difficult to do anything.
It's also still missing proper garbage collection, meaning languages like C# have to include basically the entire runtime if you compile to WebAssembly. This is a major part of why Blazor apps in .NET 5 are ~2MB for a simple "Hello World" (closer to 8MB if you use the AOT compilation options in the .NET 6 preview).
I know it's an existing proposal for WASM, but it feels so massively out of scope. If the issue is having to include runtimes in the WASM binary it might be more useful to think about how we could serve runtimes in a more efficient way.