Not necessarily. It would make the existence of tunnel bore machines, massive quarries and the like necessary. Also, machines taking up only one block? Forget about that. It would just look silly if the rest of the world was to scale, instead of the highest mountain going up only 100 blocks. You would need actual massive multiblocks, and actual massive factories that you build bit by bit in order to advance. Or you could just be a camper, mining bits of surface coal here and there, making charcoal, hunting and trapping. You would start small, make a small surface branch mine in a mountain or go around exploring caves, which would be fairly massive, with actual rivers going through them and all. In the distance, you would see massive mountains going above the clouds, stretching for 2 or 3 thousand blocks in the sky. Actually, depth of vision would have to be massively increased, maybe even based on Y level, that would be pretty damn awesome. In time, with effort, you could have a massive factory, processing tons of resources, with multiblock machines that take hundreds of blocks to set up.
I can dream.