Hi Marcus,
This is covered in the full proposal on structured concurrency, the last section in Structured concurrency: Low-level code and integrating with legacy APis with UnsafeContinuation, please have a look.
Please refer to this thread on NIO adoption of the concurrency features: Future of Swift-NIO in light of Concurrency Roadmap
Long story short: there are a few "steps" in adoption and yes this proposal should solve the "pyramid of doom" issues you allude to in server-side frameworks.
Future values which are free to "pass around" undermine structured-concurrency and thus are a bit discouraged by this design. Please have a look at the structured concurrency design to get a feeling for this.
"Futures" still exist though -- they are called Task.Handle but should be used rarely because they miss out on some cool automatic context/priority/deadline propagation as well as bounded concurrency features.