Sanderxpander
I just don't think the menu structure is very streamlined. The OP was asking if anyone shared his opinion and I do.
It would be an interesting exercise to propose a streamlined version. If there was a consensus as to some approach being significantly superior, and it didn't involve too much ripping the program apart, it can always be suggested and we can see what happens.
I tend to think for most people it's a set-and-forget thing, though, so I don't know how important most users would rate it. But if you could just take a "snapshot" of the current preferences setting and save it for later recall, it seems that would solve 99% of the people's needs who want streamlined preferences. The problem isn't really whether preferences are streamlined or not; the problem is how fast you can change from one operating environment to another. While streamlined preferences might make a different, saving and loading profiles would, I believe, make a much bigger difference.