I mean, the short answer is that, of course dark matter is a hack and our understanding of the universe could be wildly wrong or grossly incomplete.
The longer answer is that dark matter isn't particularly special or unique in this. We make observations, and where they don't match our expectations, we hypothesize new things to fill the gaps. Sometimes they're borne out by later observations, sometimes not.
We've hypothesized the existence of planets to explain deviations in planets' orbits. Sometimes the hypothesized planets existed, sometimes they didn't. In the early days of chemistry, we came up with a whole bunch of elements; sometimes they turned out to be compounds that were particularly difficult to break down. We came up a whole host of particles and subparticles, and the ones that we still think are real aren't necessarily the ones you would have guessed at the time they were proposed. If you pick up an old text book on quantum mechanics, you'll find they keep referring to it as "the new quantum mechanics", not just because it was being nailed down at the same time the text books were written but to distinguish it from "the old quantum mechanics" from twenty years earlier that it was replacing.
Sometimes the hacky models are the best we have to offer; most people will call the Standard Model of particle physics just a hacky description of the observed phenomenon, but all the elegant models to replace it haven't really paid off.
It's possible that dark matter will go the way of luminiferous aether, but so far all the observations astrophysicists are making really jive well with the idea of dark matter, so for now it gets to stay in the "weird things about the universe many people don't like" category instead of the "stupid ideas no one can believe that people used to believe" category. I mean, it makes me angry that a neutron isn't just an electron and proton mashed together, but them's the breaks.