So yeah, if you are a really great programmer and the rest of the world knows this, then any employer in the US can help you get an O-1 visa based off of that. If your programming prowess isn't well demonstrated, then yeah, you have to go through other channels.
You will need to be something like a top 1% programmers, working on things that are semi-public to qualify for the O-1, but any decent (top 25%? I'm pulling number out of my ass) fashion models can probably get in.
At least inside an order of magnitude (1/5) at a naive guess, but probably much closer, in fact, if we run with two assumptions this piece rests on:
(a) The small top portion of a given talent pool have exceptional intrinsic abilities that give them a power-relation advantages over the rest of the pool when it comes to productive enterprise.
(b) Taking a small highest portion of a very large talent pool is going to give you the largest source of power-law productive talent.
If (a) is true, one would assume the top 1% of external programmers is going to be as much better than the next 5% as the top 20% is than the next 80%.
If (b) is true and we're already looking at the worldwide market, the top 1% is already a huge boost to the pool, almost certainly bigger than the number of open jobs on the market (if 5% of the top 1% of the world's smartest are programmers, then that's a number bigger than the ~4 million unfilled positions of any kind in the US). The top 5% is redundant.
Another point to be noted is that if you try to get the top 1%, you might get 1% of that pool (1% of 1%). As many people noted, not everyone want to come to the US. You might as well trying to get all of them
I suppose what PG is after is creating a policy of allowing 'black swan standard' programmers of outstanding skill more in to the US using a different mechanism than the current H1B?