Tmobile deprioritizes devices depending on high usage. Private Relay would allow individuals who are deprioritized to bring down entire cell towers.
VPNing everything at scale will impact that monitoring/management. And that will absolutely impact towers, or cause the carriers to throttle users vs apps.
What this prevents is allowing say Youtube to pay TMobile to never throttle their traffic.
The one legitimate argument here is that this prevents traffic shaping based on the destination, which T-Mobile uses to do things like offer unlimited streaming separate from your general data quota.
P ---- CT ---- S
With VPN/whatever:
P ---- CT ---- VE ---- S
P = Phone
CT = Cell Tower
S = Server
VE = VPN endpoint
So given this the cell tower can still determine who is using lots of traffic, they just can snoop on that traffic.