The question still poorly answered—so far—is: what is wrong with greater consequence to our Character's actions? What is wrong with looking to certain instances—DM Events and interaction with DM oversight—where a Player must be more considerate and more consequential in their Role-play, of their Characters?
Let me make a simple example. Say I create and RP with dedication a PC that delves into various Good acts against the Zhentarim presence on the Sword Coast. Now, the Zhentarim—either Players in the Player Guild or DMs behind the "higher" forces—make equal action against my PC, and after much RP and development, come to confront my Character...and that confrontation takes the form of either non-mechanical conflict/action, or, actual PvP mechanical battle. In short, they attack, my Character actually wins the duel, and their Character dies because of this.
With the current Rules, the only thing required is that that PC—even NPC—that has lost, must avoid my PC for 24 hours.
What I am considering and proposing that, in such an instance—whether my PC won or they won in the battle against my PC—because and with the Conflict being overseen by DMs, the loser of such a conflict incurs a Permastrike.
Now, looking at the RP affect of this, it could be that the loser never attempts to win again. They were beat, and they take that into account for the rest of their life. Or, they attempt to find a way to bring conflict again, and thus...the outcome could go they same way, and they receive 2 Permastrikes, now.
Shall this repetition go on and on and on and on and on? No. Nothing in more immersion breaking than seeing conflict be swept under the rug so that Mary Sue can life forever.
So even if the above story is repeated for a 3rd time, and a 3rd Permastrike is gained...what then? Well, for all intents and purposes, the Victor is TRULY THE VICTOR!! What a great and final victory, to celebrate!
Now, let's go and imagine the above scenario, and 1 time PC A wins and PC B loses, and then next time PC B wins and PC A loses, and next time PC A wins and PC B loses, and then next time PC B wins and PC A loses. Now, we have a situation of 2 Permastrikes on each side! Holy crap Batman! Talk about intense moments of future decisions.
Imagine the great conflict battle of might and magic this will be, to see who the ultimate Victor is?!?
No look...I'm just illustrating one part or one option to show how consequence for Role-play can add significant experiential gaming. If the above scenario does not appeal to you as a Player at all, and if you wish to keep your Character living forever, then...don't go IC to adventure, don't go into conflict, don't be a badass and talk crap when you wish, but then duck out under OOC PvP Rules.
Yeah, that is crass, but I can't shake the feeling that this careful caring care ness held over our Characters, and protected once over by the Rules, or worse, lack of applicable limits that actually already exist in the Rules, does everything to make the possibility of conflict RP...vapid.