No, I really don´t get neck problems from using hotkeys all day. You must sit in a very unergonomic way or so.

houdini:

maya:

lightwave:

XSI:

blender:

modo:

...and many others...
I don´t see any standard there. Also under the surface. They all are very different and they all are a lot more complicated than the typical office application.
Sure, the blender user interface has weaknesses (of course the others aren´t perfect either). The work on 2.5 is in full progress now. I think they aim for a release in mid 2009.
But blender already is great nevertheless and everyone should give it a chance. If it works for what you do then it will save you a lot of money and licensing trouble.
