Its not something that can get patched in a library, because the way symbols and evaluation need to work is different (and simpler) than in a Lisp. There is no distinction between macro-s and nonmacros - everything is just a tree transformation.
The main benefit of first-class pattern matching is that your function definitions get a lot more succinct and expressive, since you can encode quite a lot of information in the structure of the arguments, and elegantly unfold the definition from the short and common case to a parameterized sequence of generalizations.