I like the IDE (a lot). I'm not reinventing anything, just doing web development. Visual Studio gives you every tool you need to get the job done in one package that's frequently updated and runs stably and consistently (on my machine). The individual tools may not be better than their OSS equivalents, but as an overall ecosystem they are fairly well-tested and work together extremely well in my experience. NuGet is very cool and easy to use.

The end result for me has been that I spend significantly less time wondering why things aren't working (almost none, really) and more time actually writing and improving my code.

If you are doing something groundbreaking or way-out-of-the-box, Visual Studio is probably not a great choice. But for workaday web developers like me it's reliable, easy, and has objectively made me more productive compared to Node/Express/Backbone.