I have had my rMBP since 2013 and always just installed updates overtop of what I already had. As mentioned, my laptop is slower now than it was when I bought it (either because newer applications need more power, or because there's too much **** on here), so if I upgrade to HS, it'll be a fresh install, which is a pain.
So, my question was whether it is worth all the hassle, and from what I'm reading it doesn't seem so. I'm still on Sierra, and plugging along with the lag etc. knowing it just works.
I recommend clean installing Sierra if you have problems with your current installation. Just hold off of High Sierra before some bugfix releases come out.