Game developers have the luxury of starting from near-scratch every once in a while. That exactly what his lauded handmade series is all about. I'm guessing that things wouldn't be so clear-cut if he was given a 10 year old codebase to iterate on.
"Normal" developers see game developers as gods walking amongst us and place far more value on their opinions than they should. The truth is that game developers and "normal" developers face equally as challenging problems, just different problems. As a trivial example, an experienced web developer could probably run circles around Casey in terms of elegantly accounting for browser quirks (conversely, the web developer would probably be stumped about data oriented design). Either could learn the other's discipline, but each would have decades head-start on the other.
The idolization of gamedevs is extremely frustrating, especially when it comes to appeals to their authority.