Earlier quoted context omitted.
Yet Common Lisp nicely scales to very large programs, some which have been maintained for decades. MLOC range.
And I bet you $10k that mostly 10x programmers work on the code base. In fact, I've never seen an average Joe taking interest in Lisp, let alone learning it to the point of making a living with it. And there is a limited pool of that. We, humans, also have work to do.
Average Joe and Susi have been for 3+ decades nicely programming lots of extensions to AutoCAD and its various clones in Lisp.
Generally I agree that Lisp programming is a bit more challenging due to the slight mathematical nature (lambda, ...), code as data and meta-programming.
I don't think that one needs to be a 10x programmer to use Lisp - many of those 10x programmers are not programming in Lisp, since the 10x programmer gets hired because he/she might be able to cope with enterprise Java architectures.
Since Lisp is a programmer amplifier, you might think that these Lisp users are 10x programmers, when in fact they are not.
But there are domains where people are using Lisp, who are not focused on programming. For example there are various Lisp-based music apps + literature which are used by composers. Example: https://opusmodus.com