While I do think hand-placed loot is vastly superior, I wouldn't mind random loot nearly as much as I do now if items we get lasted at least 4 levels and modifiers weren't useless 90% of the time. I get it, not all gear has to be optimal for my build. But when 90% of the random loot I find is useless it's a bit too much. And if I do manage to find something useful I'll have to replace it after 3 fights anyway.