Earlier quoted context omitted.
I could be wrong, but I don't think a LISP macro can transform the structure of the code in the same way that the JSX pragma turns an XML tree "inside-out". For example here's the source for the Babel JSX transformer: https://github.com/babel/babel/blob/master/packages/babel-pl...
A lisp macro see a code block as a tree of symbols/primitives. It can do anything. This means that it is easy to write a library with a nice dsl, but hard to read other people's code.
No, a regular macro still needs to be syntactically sensible. To handle arbitrary non-lisp syntax you need your lisp to support arbitrary reader macros (as in Common Lisp or — I believe — Racket) and that gets significantly more complex and involved and requires extensible/pluggable parsing.
Scheme does not have that for instance, SFRI-10 reader macros need to be wrapped in `#,()`, you can't just dump JSX or XML in Scheme source and expect it to work.