What have most people shifted to from Meteor?
sure you may not get the oplog tailing but you do get a realtime websocket system that scales. Also, I'm fron teh school of thought that mongodb should never be your primary database for a whole host of reasons (no multi-record trabsactions, eventual instead of immediate consistency, limited query language to name a few). http://phoenixframework.org/blog/the-road-to-2-million-webso...
you don't get reactive stores (yet) but with absinthe's new subscriptions system, you can add in reactivity where it doesn't bottleneck your development.