The main problem with macros (and similar language features) is that they turn every codebase into its own DSL. When done tastefully it makes the code more readable, but there's still an overhead for newcomers to the codebase - they need to learn your DSL before they can be productive.

LLMs may make this overhead less visible to you, but surely it's still there? I'd rather more of my tokens went towards solving the actual task at hand, vs figuring out a custom syntax (and re-learning it on every fresh context window).