I have some more observations regarding Q (including a little experiment I did) that I think is relevant to this discussion.
1. I am not aware of any data that suggests that 'Q' has any relation to injury rate. Let's look beyond cyclists and see what the range of Q is in athletes who use their legs for power generation. On the low end, runners. Runners tend to have a 'Q' of zero feet landing under the CG. Then, cyclists, whose feet are constrained to remain about 6 inches apart. Then, look at the stairmaster or elliptical trainer, where feet are constrained to be even further apart. Then, runners who are expected to change direction, where the distance between the feet can vary substantially. And, last, weight lifters, where feet are usually set quite wide. It seems to me that only in running straight forward is there any "naturally best" 'Q' and in all other activities we can adapt and perform well at a wide variety of stance widths.
2. Now for the experiment. Yesterday on my ride I decided I would see if I could feel how wide one might have to move the legs in order to see a drop in drag. So, while coasting (with both legs down, similar to the worst case, zero crank length, condition) I tried to rotate my knees out to see what would happen. It was amazing, an inch or so and the feel of the wind on the knees essentially disappeared. It was a huge change, way more than I ever anticipated. I then tried to repeat the test coasting with one leg forward and one leg back, as on regular cranks, and the feeling was similar. Seems the wind has to speed up as it goes around the frame of the bicycle and this increased speed gets directed to the legs when they are close to the frame. Based on this test it would be hard to imagine that substantial benefit could be had from tweaking this. This would be an easy experiment for any of you to repeat and report back your experience.
Further, later in the ride I was following one of those riders who have naturally bowed legs. In the past I always thought these riders had a natural aero disadvantage. Now, I think they may have a natural aero advantage. It would be worth testing as, it seems, would testing the effects of Q on drag.