I have sympathy for left-turners in particularly busy intersections where there is no turn light. Driving in NYC, you pretty much have to nudge as close to the opposing lane as you can until the light turns yellow/red and you can scoot yourself out of gridlock. Furthermore, you must account for streets which are one way, too narrow, full, or active to stop and turn around. However, this was not the situation I was really talking about at all.
The scenario I had in mind while writing my post is that of the local road which crosses a major stretch of highway. Such highways might be an actual interstate, a busy two-lane highway, etc. One of the worst types of road to cross is the one that is far too wide for its own good– an ambitious 6-lane road with not enough traffic to ever be full (Trenholm Road in SC, ahem), but enough so that drivers spread out across all lanes and make crossing very annoying sometimes. There are parts of the Taconic (NY) that pretty bad to cross, though I'm usually the one on the highway. The local cross sometimes gets backed up 5-10 cars, 2-3 of which are stuck in the median. Getting on the highway or going around by going the next town can add 10+ miles. Letting someone cross by slowing down a bit and changing lanes is not, in my opinion, a smug assault on the efficiency of those driving on the highway... it's just something a few people do when they recognize that nothing is very efficient anyway. (Note that I haven't said much about safety because it was only a small part of their comment, and not the part I was responding to. I hope it's clear that I am not advocating for people to test fate by slamming their brakes to let someone curtsy across the pavement.)