I'd be curious see do a small study here on HN, to see if this is really true. If you have, please describe pre/post base salary, options, and size of the company (round raised, turnover etc).
Also: were there any lifestyle sacrifices you made?
I think that most of the time companies offer options over pay, they will get mostly naive people hoping to win the lottery. The exceptions will be if the prospective candidates research the company, its leadership, board members, investors and the success history of all of those folks and determine it is a smart business choice. In that scenario, they may get they people with a good deal of experience. The people with experience will also know to negotiate a non-dilution clause.
People don't say this. Shrewd founders say this so they can take advantage of gullible and naive engineers.
People sacrifice or significantly defer personal goals such as dating, marrying, and very often, having children, because they (rightly) perceive these things as cutting into their work time, and therefore, their rise up the career ladder.
I did a bit of that, and I regret it. The fact is, if you do it for a fixed amount of time (five years), and get a payoff and use it wisely, it would be worthwhile. But that depends on so many things going exactly right as to make it almost impossible.
If you believe in the company and think it has a real opportunity to take off, then sure that might be a good trade off. But for the majority of startups this isn't going to be the case.