No they don't, because part of the experience/challenge is to beat the game with the items you get, in a given play-through. And I'd be 100% confident that the game is 100% winnable, even on hard difficulty, regardless of how your item luck goes. The game is more replayable and interesting with highly random loot, and grinding/respawns don't belong anywhere near a game like this. Of course that is subjective, but so are your comments. Either way, this is the Larian style, and has been for over 10 years. Time to deal with it.
I don't believe I ever suggested adding grinding or respawns, so I'm not sure why you're mentioning that to me.
The concept of being challenged to beat the game with the items you get would be better received if players weren't so locked into their development choices. And a single poorly implemented respec option partway through the game doesn't change that.
As for the the ol' "it's been this way forever, deal or move on" argument, I think Tanist's previous statement fits it best:
Originally Posted by Tanist
Oh... neat, you played the "XXXXXXXXX" trump card. Brilliant counter really, I mean... it works for everything..."
