Same as with alternate stylesheets or a reasonable line of death. For all the annoying things Mozilla does, Firefox is still a great browser and for some measures the only shop in town.
> meaningful styles across sites
You can also modify the browser chrome with it, and I think UBlock Origin uses it for modifying the page. Also some settings are exposed via a UI, so also lawmen not knowing about user.css might still use the user (agent) stylesheet.