I've used the "thumb trick" for a couple of months but I had to stop as the thumb was aching too much (even today it aches just thinking of doing that movement…), I even had to enable click-to-tap as I was not able to physically push down with the thumb.
And yes, I've enabled three fingers dragging as well. And as Dan says above I've noticed the short delay, that I find very useful.
And on 10.8 the dragging-lifting-dragging seems to work even better.
I don't know if you're aware of the existence of dragondrop, but I find that it solves the complex-drags problem for me quite nicely. It's a really simple tool, but has become essential to the way I work, to the point where I miss it as much as I do 1Password and Alfred on computers that don't have it installed. :)
It seems to me that on my MacBook, using three fingers to move items around allows a short delay to lift your fingers and begin an additional movement before it drops the item in place. I too used to do the hold with one finger and move with the others, but this was a pleasant surprise. You may have to turn the feature on in the trackpad settings.