Rant: On my T480 - an extremely popular, flagship Thinkpad - the trackpoint is unusable out of the box on Linux - it crawls at a snails pace unless I manually max out the sensitivity in sysfs, and also fiddle with xinput (no configuration is possible on Wayland). What is worse, infuriatingly, the curve seems to frequently change whenever libinput is updated, requiring me to go and find another set of fiddles to bring it roughly into line. This is clearly not the output of a structured, empirical, research-based approach to the issue, but of someone just fucking around with the constants for one reason or another. It does not feel like telepathy, and it makes my wrist hurt in short order if I overuse it (luckily the laptop also has a generous touchpad).
I dunno, maybe it's better on Windows. But I'd be amazed if anyone cared enough to make sure that 90s usability research was still valid, on modern variants of trackpoint sensors and modern high resolution screens.
I think the trackpoint can be great, but more adaptation is required and most people aren't willing to go through it.
My dad also ended up with some sort of tendon injury that he attributed to the using the trackpoint on his laptop all day, every day, which I've never experienced, but it has always been in the back of my mind.