Am I the only one who actually spends the time to keep my Start menu organized? I have root categories (Productivity, Utilities, Internet, etc) under which I place all applications. My Programs menu pops out to a starting list of main categories, then branches out into easy to find sub-categories. The first thing I do when I'm at the "Finish" screen of a setup wizard is uncheck the "Run {program x} now" box, go to the desktop to remove any icons it put there and drag its Start Menu group into the appropriate folder.
Sure, I keep 3 programs pinned to the taskbar, but I use the Start menu all the time since I don't want my taskbar or desktop cluttered with shit. Also, I'm a big mouse user and don't want to type what I want to run.