I think the problem is we are typesetting at all. By typesetting I mean for the printed page. Most of the result is PDF which is then emailed around. It's a PITA to write, a PITA to generate, a PITA to distribute, and then a PITA to read.

For the one percent (perhaps) of the documents which really end up on paper, I guess LaTeX is fine. Or Word. Who cares?