What I would like to do is to use Lisp to solve complex problems. The problem is that abstractions are not often efficient.
For example, consider computing the calculus product rule. An S-expression abstracts the function: (lambda (u v) (* u v). With metaprogramming, this becomes a new S-expression (lambda (u v) (+ (* (d u) v) (* u (d v)))), where (d u) and (d v) further compute the derivative. To optimize this further, you need implementation dependent code and replace abstractions of S-expressions with native machine code. This is where I feel that the troubles with Lisp start.