You don't need much current at 1/2 Vcc as most OPAMPs have very limited output current capability - tens of mA sourced or sunk at best. If you are driving a high current load, you need to add a separate output stage anyway, and nowadays, with increasing integration, you might as well make it a linear full bridge if the load can be floating, otherwise its a whopping great big cap and AC couple it so the current doen't need to return to the 1/2 Vcc rail.