I wonder if video games have given the modern generation a default bird's eye or 3rd person perspective, which is very meta. I learned D&D before video games, and I automatically entered into 1st person perspective. I don't remember hit points being an issue; it's possible that I was just young and impressionable and irregularities were filtered through a "that's just how the fantasy world works" lens. Then playing AD&D when I was older, I was more aware of the inconsistencies but by then D&D had already been impressed upon me. I think that, like anything in life, most of us do "recognize" the failings; we have simply learned to accept them. The resistance or de-programming, I suspect, has more to do with switching roleplaying stances required of outcome-based mechanics.