Reality isn't balanced, that's why I play games.
Honestly, I think what most games aim to achieve is 'movie reality' to make you feel like the start of the latest 'realistic but not totally realistic' action movie.
But reality is often not fun. A good example of this trade off was the game, I think called 10 hammers? It was a military game based off a training simulator. In the simulator, when you threw a smoke grenade, it would take the full amount of time to fill an area, something like 45 sec to a minute. In the game they had to change it to about 10 seconds or so because who really wants to wait 45 seconds for smoke to get there? I have better things to do with my life than wait for smoke to fill an area.
Also look at simulations in general. It is a dead pc gaming genera. You will find a lot of these simulations that aim to achieve realism as niche car (gt legends) or plane (falcon) games based on dated engines. When is the last time you have seen a 'jane's' game in a while?
Specifically for m&b realism there are a few problems. The first of which is the engine limitations. I haven't looked under the hood of m&b but I have a feeling it has a lot of spagetti problems, it is like any project you start with a specific design goal, achieve it, and then start nailing on cool features. It works at first but the more you grow it this way the more you have to stop, recode and/or fix old concepts. It makes going forward sometimes start to be a lot more difficult, or, a new feature you want to implement cant be done because of old assumptions made in the engine.
At the end of the day, it is pretty much what was said in the interview, reality is an inspiration for games, the game should make you feel like you are visiting and taking place in that reality, but the game can never be 100% realistic. So it comes down to finding the parts of reality that you can mymic, and whether or not you want that aspect to be reflected in gameplay. So far I think they've done a good job...nobody else is visiting this particular reality what so ever, and I really enjoy being a part of it.