The problem is that, as far as I can tell, Pearl doesn't go beyond making points with toy problems. He hasn't done much empirical work (has he published a single empirical paper?) or even read much of the empirical literature he's criticizing as worthless. Ultimately, the question is whether policy and other decisions will be better using a particular framework. The fact that Pearl writes with the aggressive confidence of a Hacker News commenter does not mean he's right.