I have the best excuse - I'm a guitar player. :P
Songwriting, arranging and engineering/mixing are the skills I really work on - and all that goes w/ it, like basic studio acoustics and such. I'm really pushing to try and get certified for Logic AND if all goes extraordinarily well, Pro Tools. I have more than enough on my plate.
So presets are an essential part of my workflow, and I say it w/o any shame. I try my best to make them my own by customizing a tiny bit, but that's no always an option.
I do spend time learning a bit more about my synths semi-regularly. I can create my own patches on certain simpler synths, like Korg Poly Six and Steinberg's Retrologue, which I really love to mess with. But in all frankness, I don't really master that art - I just got better at creating happy accidents.
One synth which really helps me improving is Logic's Retro Synth - that one allows me to switch back and forth between subtractive, FM and wavetable type of synthesis while maintaining the same basic type of interface and the same layout.
The time I spend tweaking pays off when I have to modify a patch, because I at least have a vague idea of what to tweak.
Some synths like Z3ta I really dig but I'll not master in this lifetime. But that's okay - I'll be happy to focus on Mini Moog type of synths.
As for presets themselves - it's surprising how drenched in effect most of them are. In fact, many patches in Z3ta are clipping. Another thing you have to be very careful with is stereo imaging. Sometimes you don't immediately notice it because the preset sounds relatively simple, but when you pay attention a bit, you notice how wide it sounds.
All of my old Sonar demos suffer from that same problem - because I was working fast AND didn't really know what I was doing as far as mixing - neither did I have the set up to really hear it. Effects and stereo imaging issues all over the place.
Some of those patches I really liked but had to give up on and replace because they just wouldn't sit in a mix, and once cleaned up, they sounded pretty weak.
A lot of people badmouth the synths included in Logic and say they sound sterile - imho, that's precisely because they sound dry for the biggest part. Not always the most inspiring, but as the tracks pile up, you still maintain a solid and coherent mix - and then you can put on the icing on the cake.