I store my digital files in a similarly compartamentalized, hierarchical manner. It may come as a surprise to you but my Mum and Dad (who are approaching 60 and are not exactly clued up computer users) also do the same thing on their PCs (dad with his various excel sheets and word docs, mum with her photos). Of all the brain dead questions they ask me to do with their computers and the various tech problems they have, understanding folders and using them is literally something that has never come up. The paradigm is immediately obvious to them and they find it a natural way to catalogue and store their files. This notion that a user is too lazy to organise their files is simply something I have NEVER seen (and I've seen quite a lot when it comes to bad computer users).
If my parents were to be given a computer that had no concept of directories it would be a disaster. They would be just as lost as when I try to explain to them that the email they see in Thunderbird is the same as the one they see via webmail because Thunderbird is accessing their mail account through IMAP. To them that just sounds like magic. They much preferred it when they used to get their email via POP. Oh, and guess how they organise their email? Yep, lots of folders. I don't think they've ever used the tagging and advanced search features offered by Thunderbird.
I'm the same and it would fill me with rage having to exclusively interact with all my files through a GUI front end to an sqlite database. Which effectively is what we're talking about here. I can't think of anything more non-intuitive or pointless.