It's not the same thing at all, because the PiP actually breaks things in a casual way, whereas right-click doesn't. Of course anyone can break anything with the inspector or user CSS, but that's also hard to do so that's fine.
The core problem is that for some applications the video is inextricably linked to some other content on the page and just makes no sense on its own, but Firefox always treats the video as its own content. Often that's fine. Sometimes it's not.
It's not even per-site. If you use SiteX where PiP is problematic then you can't even disable it just for that site but have to disable it globally.
I don't see how the user of SiteX is served by any of this.