If using an "eval" method seems smelly to you, you can achieve the same result in pure Ruby using define_method, instance_exec, and instance_variable_get. There are good practical reasons to use module_eval, though.
Regardless, I think the author's point was more that there's nothing "special" about getters and setters in Ruby. They're just plain ol' methods. As a class of methods we write them often enough that we've also defined a higher-order method that takes an instance variable name as input and dynamically defines those getters and setters on the underlying object.
We wouldn't "lose" anything by not having attr_reader and friends, though. Our code would just be slightly more verbose.