Though I certainly geek out over this stuff, not everyone in the world cares. My wife, for example, is completely unconcerned by the fact she has over two gigabytes of data on her computer’s Desktop. I, on the other hand, would be in complete distress with such a state of my Desktop.
Patrick actually addresses this in the wrap-up to his series, talking about pilers, filers, and wanna-be filers. If you’re a filer (or wanna-be filer), and you care about the state of your Mac, I heartily recommend Patrick’s Unclutter Your Mac in One Week Series. And don’t miss day two, or day three, or day four, or day five.