It’s generally useful to consider unit economy separate from whole company. If your unit economy is negative thing are very bleak. If it’s positive, your chance are going up by a lot - scaling the business amortizes fixed (non-unit) costs, such as admin and R&D, and slightly improves unit margins as well.
However this does not work as well if your fixed (non-unit) cost is growing exponentially. You can’t get out of this unless your user base grows exponentially or the customer value (and price) per user grows exponentially.
I think this is what Altman is saying - this is an unusual situation: unit economy is positive but fixed costs are exploding faster than economy if scale can absorb it.
You can say it’s splitting hair, but insightful perspective often requires teasing things apart.