Maybe the average C++ programmer doesn't need it.
There are several listed at RefactoringBrowserForCeePlusPlus, including
The only thing worse than C++ is Perl. Write a parser for either one? Yuk. Not to mention no orthogonal(?) rule set.
On the other hand, in Smalltalk one can also access instance variables by offset, using #basicAt:put:. I don't believe the original Refactoring Browser handles such abominations, so why should the C++ one be any better?
C++ without the warts: that'd be the CeeLanguage! ...and after you remove the warts, hack off your legs below the knees.
Hasn't anyone yet invented a language like C++ without all the warts?
What if the warts are inherent in the AlgolFamily?
Nah. The Algol Family is mostly a syntactic category used to describe languages with begin-end or the equivalent, such as C braces. The semantic issues don't seem to matter as much: Lisp has statements thanks to PROGN etc, C or even Java with first class functions and closures still wouldn't be Lisp, Vaughn Pratt called his Lisp-with-block-structure "Cgol", not "Block Lisp", etc.
Beyond begin/end syntactic structures, there's too much variety in "The Algol Family" for the members to have much in common.
It's always hard to draw sharp definitional lines...from 20,000 feet, what's really the difference between C's { ... } and Lisp's (LET ... )? They both define a syntactic scope which can contain functions and/or statements, in both languages.
The big issue for Refactoring Browsers has already been described above: any traditional systems programming language that can manipulate general pointers is just too unconstrained to be able to offer any guarantees that code modifications won't change the semantics of the program.
True, a refactoring browser wouldn't be able to prove that its changes were safe, but then the programmer can't do that either. What you can do (in either case) is rerun the tests to *verify* that the changes didn't affect the semantics of the program.