Actual remaining issues:
* complex layouts get messed up, as you mention
* it's not very easy to leaf through an ebook and to quickly jump from section to section
That said, I still read 90% of my course materials on my Kindle, Kindle app for OS X or Mendeley. For all its disadvantages, having a digital overview of all of your annotations is a godsend when doing research or studying for an exam.
For that same reason, I don't take paper notes anymore: while convenient, often they get lost, you can't search through them and you can't edit them.