Ian is talking about 2 different things here:
His toolholder shows an insert with zero top rake. It's not "double sided", so has only 3 corners. Ian's point is that if the front clearance is anything like the 11 degrees shown in Paul Lousick's picture, you could actually mount the insert at 5 degrees or so to the horizontal and thus generate some positive top rake should you wish, while still retaining a degree of front clearance.
His second sentence simply observes that there are (other) inserts that are symmetrical and can be turned over, giving 6 corners. Obviously you can't pull the same trick with those and they wouldn't be very suitable for internal (boring) operations either, as you would be seeing negative top rake no matter what you do.
Both of these comments relate to making use of inserts that come with zero top rake. Obviously if you were buying new inserts you would want to buy proper positive rake examples to begin with.
Murray