As a long time medium format user, I think people who assert that this camera will be hard to tell from a high end Canon or Nikon would be rather surprised at just how good the results can be.
There are few interesting issues.
Common small sensor digital cameras show no useful gain in resolution above about 10Mp except under the most perfect of shooting circumstances. The size of the individual pixels on the sensor is so small that noise becomes a significant issue, and often there is no additional information added to the picture with more pixels. The race to higher and higher pixel counts was pure marketing, and has thankfully mostly stopped. Just comparing the raw number of pixels between cameras has always been more about marketing than pixel quality.
However the medium format sensors have pixels that are huge. As a rough approximation they are the same size as those in the high end full frame 35mm equivalent sensors used in the Canons and Nikons. It is just that you have a sensor that is three times the area. So the sensor has essentially the same sensitivity and noise performance.
The other clear limitation of final image quality is in the optics. There are no second rate optics in the medium format cameras. You get lenses from Leica, Zeiss, Mamiya. These optics have no peer, and are typically at the leading edge of optical technology. Usually they are designed with the professional photographer in mind - leaf shutters are common, allowing fast flash sync for studio work with useful depth of field control. They are usually large, heavy and mind numbingly expensive.
So, as a real quality issue, they provide as good as, if not better image quality as a top end 35mm derived digital camera if you took three shots with the 35mm equvalent and stitched them together side by side.
As to whether this resolution is needed. It depends. For glossy magazine work it most certainly is. One place where film has never died is here. Professionals world wide still shoot medium format film because there are uses for which no 35mm equvalent digital camera can provide the results. At least not without sigificant digital processing to provide the illusion of higher resolution.
There will always be a few moneyed enthusiasts that want to buy the most expensive toy, but these cameras are large heavy, complex, and not something one takes around to pose with. (A Leica M9 would fit the bill for that.)
It might be said that getting the quality these cameras are capable of isn’t trivial either. They have so much resolution that a tripod is usually needed in all but the brightest light, and care and effort is needed in focussing.
Personally I lust after a Leica S2. But I have been very happy with a Mamiya 645 and Fujica 646Zi with film. It costs me nearly $2 a shot in film and processing now. But I can scan the results at well over 30Mp and still not get to the resolution the film provides.