Well, for what it's worth here is my .02 cents on the topic...
My current truck is the third IDI Ford i've owned, I have always very much liked Ford trucks, and on the first week of my first job in high school I got the pleasure of assisting the yard mechanic in rebuilding a 7.3 turbo IDI at the trucking company I worked for. This engine was in a service truck that had somewhere around 300k HARD miles servicing vacuum trucks all over the lower half of this state. It was in surprisingly good condition considering what it had been through. We had the block honed, heads done, and new rings/rods/bearings made that engine run great. I worked there for two years and eventually was given that truck as my service vehicle. Never once left me stranded, always got things done...
Now, I bought my current truck for towing, I wanted to get a fifth wheel travel trailer and start living "on the road" with my family. Trouble is, once I picked up my 8k 28ft fifth wheel I started really doubting my decision to stick with the IDI. It was absolutely gutless. EGT's would peg on even the smallest molehill.
So, I talked to Calvin (towcat...) and explained what was going on with my pig of a truck. He immediately identified the IP as being on it's last leg. The guy recognized the pinch I was in and loaned me a good IP to get my trailer where I needed it. WHAT a difference! This truck has literally changed completely.
Last run I made with the 5er took me up from sea level here in the bay area, up to over 3000 ft elevation in the sierras, then back down and back up to 2200 ft over patchen pass into santa cruz. I was certainly impressed with the performance of my truck.
The little things make a huge difference. I have driven and towed with 12v and 24v cummins trucks, PSD trucks, they are nice and they do have way more than enough power to outrun an IDI, but for those among us who like to keep things simple and reliable, or for those of us who need things to be simple and reliable, the IDI will get the job done. Truth is, here in Cali you can only legaly tow a trailer going 55 MPH anyway, so in my opinion the whole concept of being able to tow any trailer at any weight as fast as you possibly can is mute anyway...
Sorry for the excess wordage...