It's absolutely a fair criticism. The real DOM is stateful, elm's virtual DOM is not, and elm doesn't provide any tools to manipulate the state of the real DOM. This impedance mismatch is bound to cause problems any time you are dealing with the stateful aspects of the DOM. And solutions like the one linked to by GP are error prone and fragile.
Of course it could be better, and that's probably what you are getting at. Ideally the machinery provided for building web applications would be more aware of the nature of web applications and have something in the box (still explicit and obvious, but in the box) to do something like setting focus.