Many correlate "sane" with "statically typed". [1]

JacaScript can cope perfectly well with modules A and B relying on different versions of C. It'll often cope even if A calls B with an object it got with C, or some other module broadly compatible with C. Static typing proponents aren't comfortable with the idea, so it's not "sane" to them. Sane or not, many argue it's not just not slowing down the Node community, but actively contributing to its explosive growth.

In C#, you get MethodMissingException if A.DLL and B.DLL refer to different copies of C.DLL and A calls B with an object it got from C, even if the copies of C.DLL are identical.

1: Perhaps I should contrast with strong typing, not static typing. Meh.

Path rewriting means you're distributing modified copies of code, which puts you under significant legal obligation in some cases.

npm is amazing for javascript, but terrible for compiled languages and is especially terrible for security updating; the giant mess of transitive dependencies of the same dependency of varying versions can get messy fast.