For those who don't need regular visits, the HT/VT program isn't effective. However, for those who do need it, it can be a life-saver - especially for those in places where fellow members don't live close and for those who tend to slip through the cracks without assignment. In my opinion, it's not the program in and of itself that is the problem; it's the way it is run by too many members and local leaders. I believe the program is inspired - but too often the implentation is not.
I really do believe it is inspired, but it would be totally redundant and unnecessary if we loved and served each other as we should. In Zion, caring for others would happen without assignment. Until that day, I want HT/VT to continue - with some out-of-the-box, fresh thinking and implementation.