PossibleCabbage
Vault 22 Survivor
If SPECIAL can survive on a 1-10 point scale, then so can Small Guns and Medicine. From what I've seen, the perk system will basically function like this. As PossibleCabbage said, the difference between 60 and 70 sneak isn't a huge one, and you aren't going to lose much by having the same difference, only between the 6th and 7th perks in the sneak tree.
No problem with melee damage being scaled with melee weapons skill, that makes sense. If they get rid of insane damage scaling based on skill for guns, and replace it with greatly increased gun sway at lower levels of skill, I'll be happy.
Basically, since there are plenty of mechanically deep tabletop games that get by with 5, 10, or 20 point scales (or any number less than 100 point) scale for your competence in the various skills, that having skills on a less than 100 point scale in a video game doesn't mean you're giving up something sacred or incredibly valuable.
The reason a 100 point scale is used in tabletop games (which is probably why it's in Fallout to begin with) is "roll d100, and see if you get less than the number" is really quick, simple, and easy to do. Something like "add your skill to your attribute plus modifiers, and roll that many dice and compare them against a target number" is every bit as valid, but it's something that takes a lot longer for humans to do. For computers though, "rolling dice, adding, subtracting, and comparing numbers" is nearly instantaneous though so you lose very little that way.
Not all simplifications of a system are bad, since sometimes there are bad or inefficient rules. If your game had DT be something you rolled for, instead of a static value, making it into a static value would be a reasonable simplification.