It’s much easier to reason about when your variables aren’t going to escape past the end of the block.
In non-GC languages going out of scope can also be a trigger to free the contents of the variable. This is useful for situations like locking where you can put the minimal span of code that requires the lock into a scope and take a lock which automatically unlocks at the end of the scope, for example.
JavaScript’s hoisting and scoping feel natural to people who started in JS, but most people who came from other languages find it surprising.