The reason is simple: They are difficult to understand. Code is communication, and there are two listeners - and when you are pushing function pointers around using macros, the human is going to have huge problems understanding what you are trying to achieve.
So I don't think exploiting particular features of a language to extreme levels when it is unneccesary makes you a good programmer in that language - I actually think it makes you worse.
It's like writing a book - you have a certain vocabulary at your disposal, and you can say almost anything you want with that vocabulary. There are different levels of obscurity in the words you use you can reach - you gain in expressiveness, but you narrow your audience. When you write a book for molecular biologists, then the particular terms you use should not be the same as when you write a biology textbook.
That's why I think that one can be a good C programmer without going much deeper than the C subset commonly used in C++.
This is part of my general philosophy in programming - clarity, simplicity and structure first, efficiency second. The machines will catch sooner or later, anyways.
C++ has templates, so you don't need to do as much with macros. C++ has virtual functions and overloaded operators (allowing for functors), so you don't need to do as much with function pointers. Structures can have methods in C++, so the way that you'd set up an opaque type is quite different in C++.
C++ also has about 10000 other features as well though, which is what makes it unwieldy to learn. The patterns mentioned above aren't about efficiency; they're about encapsulation.
Just to give an example -- in C++ if you want to set up a callback, for example with an observer pattern, you'd use a pure virtual function (and then pass in a concrete instance of that class) or a functor. You can't do that in C, so you use a function pointer. You learn to work with function pointers more because they're a necessary part of designing C APIs, whereas they're not in C++.
(Note that it's the language I'm best at, followed by C, so this isn't random C++ hating.)
I'm not saying there are no good reasons to learn C++. Just don't think that you'll really appreciate C until you've actually used it all by itself (with maybe a few C++isms here and there like //comments).