I'm not so sure... I make them pretty much daily, and we print them and call them "books".

I'm not saying you shouldn't be able to tweak them manually, but there's got to be a more ergonomic language for drafting pages than literally dragging objects pixel by pixel, especially when most of the content comes in four forms: tables pasted in from Excel, charts pasted in from Excel, bullet lists and simple graphics around text like circles and squares