programming languages do not themselves need to be programmable
To maintain the code, you have to understand the input language to the code generator and its metaprogramming constructs. You're no better off in that regard.
The grandparent comment is saying that if you don't give people metaprogramming built-in, they will resort to outboard metaprogramming.
I.e. you can't stop people from metaprogramming.
macros are programs written in a separate, unique, often turing-complete meta-language, which is implemented entirely in the compile phase of the language which supports them
they're in no way equivalent
The Racket people took this concept very far. The kernel of the language is very small and well defined. All Racket programs (or more precisely, expressions) are eventually reduced to a handful of syntactic core forms (see [1]). For example, thanks to forms such as (#%variable-reference id) you can specify rules for variable access, for example, w.r.t. life-time. With tools such as the Macro Stepper you can fully step through the transformations of any expression in your program, from the highest to the lowest level.
This has numerous benefits. Extensions or modifications of the language can be rolled out (and used!) as libraries. This makes collaboration and testing far easier. Also, if a language feature turns out to be a bad idea, you deprecate the library. You do not have to change the compiler. This allows you to shrink your language and explore different directions without the burden of an ever growing language spec and implementation.
Is it a perfect solution? No. Changing a widely used language always has big impact, but the impact can be compartmentalized and users of the language are given a graceful migration path by updating their libraries, at their choice and pace.
Is Racket perfect? No, not by a long shot. But, frankly, language authors should at least take a look at the possibilities and consider the technological options for controlling the evolution of a language.
https://docs.racket-lang.org/reference/syntax-model.html#%28...
One thing that C does not have something like METAFONT's "vardef"; if you have "scoped macros" that can be declared as global or local variables and as members of structures, it would cause less interference than the current system and can even sometimes provide other benefits too.
Others include e.g. possibility for macros to define other macros (probably several other programming languages have such a thing), for appending to existing definitions (like {append} in Free Hero Mesh), for altering existing macros with a value calculated immediately instead of each time the macro is called (like {edit} in Free Hero Mesh), etc.
(this is PG's take, but IIRC the thread as a whole had some interesting ideas. Unfortunately Guy Steele's replies seem to have been under a different Subject: and haven't been threaded by the archive)
Edit: HN to the rescue: https://news.ycombinator.com/item?id=9695323