Yeah, my ISP uses it. It does come with some of the downsides the previous poster mentioned: the inability to make myself reachable from $the_world can be annoying, and I get a captcha on Google every time because of "unusual traffic" (I mostly use DDG, but sometimes fall back to it). Also, ACM blocked me at some point because "my IP is infiltrated by SciHub" (their words).

In the end, it's an imperfect solution for a real problem that mostly works well enough.