I disagree with this profoundly. There is no argument that Lisp in general can get you in a terrible mess. So can C, or pretty much any language (I well remember a case of 11-way multiple inheritance in C++ game code). If I were running a Lisp-based project, there would be project standards (like no exported macros without signoff, and a list of standard library dependencies), documentation requirements, and code review.

The fact that Lisp is the “programmable programming language” doesn't mean that every engineer should be inventing weird versions of while loops. What it does mean is that a skilled Lisp programmer can build a domain-specific language that substantially helps in development.

One good example of this is the Crash Bandicoot games, along with the same studio's Jax and Daxter, which were built with dialects of Lisp (yes, they had to compile the code, and take care with storage allocation, just like any other game code). Cisco hired Kent Dybvig, principal author of the Chez Scheme system, and open-sourced that software; I have no clue what they use it for, to be honest, but I assume that they had some reason for doing this. Companies using various Lisp languages have been documented in areas from fintech to quantum computing.