I thought it was very fair show. All his views didn't seem so insane till the end when he started saying:
If you make a living as paid programmer to support your kids
then you need to get another job
The thing to do is - do not have kids in the first place.
If you are making "non-free" software - it is unethical
basically it's the same as being an Enron executive ripping off shareholders.
Those are no surprises. He's held those positions his whole life. Proprietary software is bad, period. To RMS there is no way to make an honest living, and live an ethical life by making proprietary software. There aren't any degrees, where some level of proprietary software is ok.
In general, I think he's right. I don't follow as stringent a path, but I consider that more a failing on my part than of his.
Edit:
With the distros, it's because they allow non-free software. Again, it's more stringent than my views, but it makes sense, even on a practical level. By saying "fsck it, Flash works ok, and it doesn't hurt much" it leads to apathy, and complacency where people start accepting more and more proprietary software as ok. You see that with 100% proprietary software users as shown in this thread. 15 years ago no one would have accepted the egregious DRM, and remote kill switches many seem to accept today. If you let your rights go a little bit at a time, one day you find you have no rights at all.