TLDR: It works for me which doesn't mean it works for you depending on your needs.
I use "apps" like firefox emacs mpd mpv not electron crap and it works well enough for me. I don't need anyones kludges to run well behaved native apps in their intended environment. Seems like you would be liable to experience hassle to the degree you decide to make it complicated.
Sound working on supported hardware hasn't been a problem in over a decade. Bluetooth is dicier but for example I didn't have much trouble using it for example on my thinkpad where its useful for a small portable wireless mouse to talk to the laptop. I've honestly never used it on my desktop. I still think it 99% comes down to supported hardware not distro.
Honestly although I've had working bluetooth sound I have entirely switched away from bluetooth because sound quality at least on affordable hardware is much crappier than wired. People that must have wireless especially because their phone doesn't have a port are selling Bose QC25 for $75 all day long. I bought a pair that I plan on using for the next decade. Look at the more recent competition. For $300 for the QC35 I could depending on audio codec have a differing degree of worse sound from noticeably worse to almost as good with a specialized battery that is going to crap out a few years and eventually need major surgery.
https://www.ifixit.com/Guide/Bose+QuietComfort+35+Battery+Re...
As bad as the difficulty to replace is the fact that its built in and not hotswappable so if you forget to charge it then its down for the count. It's dead Jim. With my qc25 I pop in a freshly charged bog standard NIMH AAA for days of use and if it dies I swap in another. When they no longer charge into the trash they go and I get a replacement from anywhere. If none are at hand it still works just sans noise cancellation.
It's also easier to switch between an always connected set of headphones and speakers instead of a script shuttling everything between pulseaudio sinks and switching the default it now just needs to toggle which alsa output is muted a trick that worked 18 years ago.
It's like a microcosm of why new isn't better.
On the topic of firefox I've noticed the run away eat all your memory issue seems to be highly correlated with having a bunch of addons but I did learn a handy thing before I realized this. Userspace oom daemons. Something like earlyoom kicks in WAY faster than the oom killer with configurable targets. This means an out of control firefox trivially meets a fiery death instead of your session.