MCMC is a very slow inference algorithm. Its primary advantage was that for well-known models it could be coded up much more simply than a fancier inference technique. When you consider variational methods and newer streaming methods based on things like Assumed Density Filtering you can get really great scalable performance. The point of probabilistic programming is write inference algorithms once for a large class of models and be done. So the advantage of using a fancier method is amplified.
This means paradoxically probabilistic programming should eventually be faster than existing methods rather than slower, since you can reuse these fancier inference methods for new models. This is a very active field so this progress is only starting to be appear in the existing systems.