MS Paint FTW! The combo of Paint + MS Publisher just can't be beat.
j/k - I use Photoshop + Freehand, and am begrudgingly moving towards Illustrator by the day, just so I can have the full integration of the CS2/CS3 suite of stuff. I do applaud anyone coming up with a usable consumer-level image editor that's actually functional, but the real hope I have is that it provides output options that are usable to folks in commercial printing. There's a slew of image editors out there that can hold their own, as long as the image being edited never leaves the screen. The problem comes as soon as you take it to a printer to have it offset print (or whatever format you prefer), these lower end programs produce such horrible postscript code that the output very seldom matches the intended work of the author. Colors don't match, boxes don't stay in position, fonts don't render correctly, etc. - things your desktop inkjet or laser may not show you, but once it's been RIP'd, stick out like a sore thumb. Since the OS can produce a .pdf, that's helped a bit, provided the code producing the .ps file for the .pdf is clean.
Also - I'd give this a go-around, but with as busy as I am with normal application use for work, I don't want to have to play with a new product to see what it can do. I do, however, welcome the feedback of folks who are more interested than me.