This isn't really as big a problem as many people think. I've been out of Rails for a while now but haven't really felt the pain of missing anything with Phoenix. I've noticed there aren't often Elixir wrappers around third party APIs, but those are really not a big deal to create a small version on your own with only what you need. I always used to wrap the wrappers anyway! As far as UI stuff goes, there are actually a lot of really nice vanilla JS libs out there which play really nicely with LiveView's JS hooks.
I would be interested to hear what people have been sorely missing, though.
EDIT: Said "are" when I meant "aren't"