I think I could. But then I would need to put & in front of every argument in every procedure definition and also deal with working with references inside the procedure, with the syntax that brings along.
Correct. If you then want to subsequently re-reference or dereference that reference (this happens sometimes), you'll need to accordingly `&` or `*` it, but if you're just using it as is, the bare syntactical `name` (whatever it happens to be) already refers to a reference.