You can't wish away Design Process. It has been in existence since the dawn of civilization. And the latest clever development tools, no matter how clever, cannot replace the best practices and real-life collaboration that built cathedrals, railroads, and feature-length films.
I've noticed this more as I've transitioned to a more agile development world at Skype. Constantly shipping and constantly shipping MVPs means we're less frequently shipping code we're proud of.