Why are Include/Exclude commands not available in VS?

Why are Include/Exclude commands not available in VS for UE4 project development? Normally I right click on files and include and exclude as I desire, but in UE4 project I have to create preprocessor macros and possibly design custom program to manage my macros or something. Why is this feature removed from UE4 projects?

UE4 uses their own build system (UnrealBuildTool) to manage compilation. The VS project is only generated for editing the source files and is not part of the build process, so adding/removing files there does nothing.