I do, and I agree about their utility. My users and aliases are in OpenLDAP but it’s pretty easy to add new ones.
Separate accounts are preferable if you’re actually going to be responding to messages. I’ve had some embarrassing encounters where I’ve given an alias to a business that I didn’t realize was going to actually use it for real email conversations with a human. By default roundcube web mail lets you hit reply anyway and the reply goes out with your real address, which can lead to confusion.
Payment card transactions can be disputed or reversed. Cryptocurrency transactions cannot be easily reversed. Reversal is an important capability because sometimes customers or merchants lie, or they can have problems fulfilling their obligations.
When the buyer and seller are in the same country, or are in countries with legal and criminal justice systems which cooperate, transaction risk is lower so fees can be lower.