Once upon a time, sound cards were files in the /dev tree. To play sound, you wrote pcm data to the file representing a sink. To record, you read pcm data from a file representing a source. Things were better then. I'm sure there are people with use cases that have required the four (and counting!) solutions crufted on since then, but I've never been one of them, and it irks me that the interfaces get more and more complex and brittle with each iteration.