I use the term power, because P = V I, or voltage times current. The resistance is higher on the web of power lines than at the home.
You are not comparing apples and apples. High power is generated and distributed using AC. The voltage is relatively high so that the current and I^2R losses are not too large. Most AC devices are designed to operate ant 110 VAC, 220, or 440. This is because their power consumption is low, and these voltages are high enough.
They use high voltage to transmit power using much smaller wires to transmit too much power ,but it needs professionals & equipment's to do it safely .then use transformers to bring volt to low safe to use at home.
Efficiency, it's easier to transmit 250k volts over long distances. Safety, you don't want a washing machine that you have to stand 20ft away from.