And that is a big reason why he's making this post, is what I'm saying. It doesn't excuse him, but it's not surprising in the least.
Can you give some examples, outside of this post? I only know about Carmack by the things he'd worked on, but not anything personal like this. This would help me get a more complete picture of him.
I've (unoriginally) always been impressed by his technical ability and work ethic, and while I used to religiously read his .plan updates (you might not know what that is, because I'm an old, OK? It's the precursor to blogs) and also follow the old Armadillo Aerospace development blogs, and watch the very long QuakeCon talks, I haven't kept up much as I got older, just come across things here and there (like this Twitter post), and I have not picked up a big change in demeanor or humility in regards to labor, political and societal issues from back then, and those are things he's written about. It's very much objectivism, the criticism of which is beyond this topic, but suffice it to say it's not a philosophy conducive to empathy. I seem to recall he made a bunch of libertarian rants on Facebook when he worked there too, but I'm not going to give Zuck the traffic. I'm sure you can find some.