I think the central urge in there is to get scientific discussion more out in the open. The single biggest issue by far, is not the pace of the publication process or the level of writing. It is access.

I would argue that access would actually solve a number of his other complaints (poor moderation, percieved time lag, people don't wanna read 'em, academia selecting for conformity). If we raised the quality of content on the open internet, the quality of discourse would go up.