It's lens choice for me, when I last looked at a MF system as soon as you want a lens on the long side of normal the system becomes unusable for my work. Yes I can see there are differences in quality, no I don't see it as big a gap as others see it. If I was desperate to have a system without an AA filter, I would either get it removed from my Canons or buy a Leica M9. After my experience with the Kodak SLR/n which did not have the AA filter, I have no wish to inflict the pain of constant moire on my images. I lost to much sleep trying to eradicate that demon. If not having a AA filter is a big reason to go MF, it just is not big enough.
I hanker after a MF setup because that was what I was brought up on, I still have a nagging feeling that MF is for "real photographers" and I can't take myself seriously unless I use one. To be honest I think that is the main reason most MF systems get sold, nothing to do with quality, client needs or business sense. When you have to rely on mathematics or 100% crops to prove one camera is better than another then I know it's a bit pointless.
The difference in price is huge, for that I would want my clients to see a huge quality difference, I think the only difference they are likely to spot and take notice of would be the moire.
But I still would like a MF system, one day perhaps.
Kevin.