More than ever it's important to have complete control over your HTML structure. We need to cater to more browsers and screen sizes than ever. Sure, templates you only write once, but you still need to re-template or rewrite new components. For redesigns, css isn't to a point that html structure doesn't matter so it's still important to reorder elements or change nesting. If your talking about point and click tools, I've never found them to be as quick as a good IDE with code completion.