You can look at Clojure as a "reference implementation" for many of Hickey's ideas. (A production-ready reference implementation, of course.)
But all of Rich's ideas/"features" can be applied in your language of choice. (Immutability, functional programming, avoid-ADTs, how one should do versioing, etc.) I've employed many of these and other of Rich's ideas effectively in Java. The ergonomics would be better in Clojure, of course, but for (probably good) political reasons I have to use Java at work.
Just notice that Rich's rhetoric is nearly always focused on specific problems and solutions that transcend Clojure.
Not just can, but have been and are. Clojure is one of those languages (like SmallTalk) where, even if it's not the most "successful" or "popular" language in the long run, it has had an oversized impact on how we program in general.
I even remember using VLists (work by Philip Bagwell, that probably inspired the data structures in clojure) in 2006, and I am not even a programmer.
So they end up being almost as fast as their normal mutable counterparts, and with similar and sometimes better memory consumption, because nothing is ever copied under the hood.
This allows them to be good enough to be made the default datastructures. Clojure was the first to make this gamble, and show that the state of the art immutable datastructures mostly pioneered by Bagwell were practical and could replace immutable ones for the 99% use cases.
He'll argue, of course, that the time & effort are worth it for immutable data structures. I'm unconvinced, but that's the great thing: we don't all have to agree! I'm glad he's having fun.
"But Lisp had a bunch of things that needed to be fixed in my opinion. It was built on concretions, you know, a lot of the design of more abstractions and CLOS and stuff like that came after the underpinnings. The underpinnings didn't take advantage of them so if you want polymorphism at the bottom, you have to retrofit it. If you want immutability at the core, you just need to, you need something different to, you know, from the ground up. And that's why Clojure was worth doing as opposed to trying to do Clojure as a library for Common Lisp. The Lisps were functional kind of, mostly by convention. But the other data structures were not, you had to switch gears to go from, you know, assoc with lists to, you know, a proper hash table. And lists are crappy data structures, sorry, they just are. They're very weak, and there's no reason to use them as a fundamental primitive for programming. Also packages and interning were very complex there."
The hierarchy Rich refers to[0] puts domain complexity and misconception as 10× more important than anything that's language specific. I believe this is the basis of the quote I pulled. I think this is compatible with thinking that language features are important, but domain complexity and misconception are more important issues when tackling a problem with code.
[0]: https://github.com/matthiasn/talk-transcripts/blob/master/Hi...