> Part of the problem here is that developers don't do a 
  > good job of creating a culture that values refactoring as 
  > a key part of the overall process.

And developers won't get a culture that values their work as part of the overall process until they're promoted into positions with enough authority to ensure that engineering processes are valued. There's so much management bashing in the community that I fear that we've become self-defeating: The only way to get better management is to promote managers from our ranks, yet we're quick to put the "pointy-haired boss" label on anyone who dares to make the move.