The calls are still processed by the system and passed on to the graphics engine and hardcopy driver as calls to the relevant Grexxx functions.
The hardcopy driver's Escape routine usually calls SplStdStart when DEVESC_STARTDOC is received. Some previous versions of presentation drivers made this call from the CompleteOpenDC routine to accommodate applications that did not call DevEscape(DEVESC_STARTDOC) at the start of the document.