You're not going to earn "Perks" in TESV with tongue-in-cheek titles like Bloody Mess or Lead Belly. I see no reason why Bethesda couldn't just implement a Neverwinter-esque feats system...it wouldn't harm the gameplay in any way. So long as it's finely balanced, it would do nothing more than add to character variety. But, I agree with previous statements saying that TES already employs perks...in the form of racial bonuses, star signs, and skill milestones.
That being said, I see no reason why TES should suddenly change up its systems like that. They're desperately in need of balance, sure, but not a complete facelift. I love Fallout's character progression - I daresay it's superior to TES in that respect - but I still want to feel like I'mm playing two different games.
One of the big things about Elderscrolls and how your charecter progresses with skills and levels is that its something that you earn by using. the more you use a skill the more you are rewarded when using that skill.
choosing perks or feats every time you level up is not the style in which makes a elderscroll game an elderscroll game. you still get the perks, its just the way that you get them that is different. I makes it seem like your charecter is learning as he or she gets better with their skills, getting perks by choosing them from a list every one or two levels, or chosing them from a "feat" tree like neverwinter or the diablo series is much of the same but just a different way to distribute the perks.
gamesas will (or should) keep it the same way, its their signiture style that makes it a TES game instead of a neverwinter wanna be, or a fall out wanna be.