(disclaimer: I work on the team developing Q# and its tooling)
That's part of the goal of Q#. It's designed to be a language which allows you to build up from quantum gates, efficiently work with quantum concepts such as 'adjoint' and 'controlled' operations, and build that up into a higher level of abstraction. You can see an old post as to some of the reasoning when it was first developed at https://devblogs.microsoft.com/qsharp/why-do-we-need-q/>.
Another consideration to some of the points raised here, is that even on today's state-of-the-art hardware you typically only get a couple thousand gates at best before noise overwhelms the system and the qubits 'decohere' (https://en.wikipedia.org/wiki/Quantum_decoherence). So you do often want to develop at a level where you can squeeze every last gate out of whatever program you're writing. (If you intend to run it on a quantum computer and not just simulations).
Being that the post is about quantum simulation, you can see the one our team built in Rust at https://github.com/qir-alliance/qir-runner/blob/main/sparses... . This uses 'sparse' simulation, which means any state with a probability of 0 isn't tracked, which turns out to be quite a few in a lot of algorithms. This allows you to simulate many more qubits than you can with a full state simulator (where you need to track 2^n states for n qubits). It also does some other nifty tricks where you can elide or combine gates before they are performed to get even more perf. We use it in our new Q# stack (https://github.com/microsoft/qsharp) to run program simulations in our CLI or in the browser (such as on our new https://quantum.microsoft.com site), or inside VS Code (desktop or web)).
We are looking to evolve the Q# language and improve the quantum development experience, with a focus given to a 'scalable' quantum future where gate count and noise is less of a limit, and moving development higher up in abstraction - as you outline. So if it is something you have an interest in, we're more than happy to get the input on the qsharp GitHub repo linked to above.