Question regarding use of low voltage high current outputs

There's a perfect example of a low voltage, high current device: a welder. Voltage as low as a few tens of volts, currents over 100A. That's kiloWatts.
The reason you don't see the combination low voltage/high current that often is that it's a rather inefficient way to get the power required: you need thick cables to carry the high current. It's much more practical to run the 1.5kW water kettle on 230V AC, so that it only needs 6.5A, than to run it on 20V, where you would need a thick cable to carry the 75A. Remember that we get the high voltage of 230V/115V from the grid already.

First, it may help to think of voltage as pressure and current as flow. Various combinations of high/low voltage/current are used. For example, low voltage and high current is used to run the starter motor in your car. It's only 12V, but can exceed 100A. However note the drawback, which is thick cables going to the starter.

From a pure power standpoint any product of voltage and current that results in the same value is equivalent. However, losses in real systems can be proportional to current, especially when the electric power has to be moved some distance.

Let's say you had to deliver 1kW 100m away. In theory, 10A at 100V and 100A at 10V are equivalent. However, back in reality we're stuck with real cable, not theoretical ones. The voltage a cable has to be able to handle effects how it is insulated. The current a cable has to be able to handle effects how thick the conductor is. Insulating to 100V is trivial. Just about any layer of insulation you put on the cable will do 100V. You wouldn't save any money trying to make a cable only good for withstanding 10V. Just to overcome external mechanical stresses and normal abrasion, the insulation will be thick enough to withstand 100V without much additional cost. However, the thicker conductor costs real money. Copper or whatever you use as the conductor will have a significant cost to carry 100A for 100m. Now consider that the power lost in the cable (a resistor for this purpose) is proportional to the square of the current thru it. To get the same total power loss in the cable at 100A as you did at 10A, you actually need 100 times as much conductor material.

Now think about transferring 100s of MW between power generating stations and cities. The economics favor making the voltage as high as possible and thereby decreasing the current for the same level of power. Such transmission lines usually work in the 500kV to 1MV range. There are costs at really high voltages too. Power companies carefully study the tradeoffs in deciding what voltage to run a transmission line at.