Chadtech_
I would know. I was working on a large native code project that was killed by 0.19. It sucked for me that my project could not continue, but, I can't say that it has made much of a practical difference when it comes to making software applications. My project was called "elm-canvas" and it was about providing canvas support. Since 0.19, other people have found implementations of the HTML canvas element that do not rely on native code (Like Joakin's great 'elm-canvas' https://github.com/joakin/elm-canvas). For my own HTML canvas based software projects, I have been able to find my own non-native code implementations that work pretty well.
So, I think I faced a disproportionate amount of this problem, and I can't even say it has made much of a difference to my own productivity in Elm (and I have written a lot of Elm).
It is going really well! Whenever I hear Elm can't be done, I am always a bit baffled. I am right here! Look at me! I am doing it!
It has been fairly quiet as far as development is going. But I do know there are things in the works for another big update.