Sally, I dont' quiet understand what's going on with the printing issue there.

In here, I make a CMYK, close it as a pdf and send it to a printer shop. He prints an example with the Aeries machine (or fiery or whatever). I show it to the customer and.... yes or no. I don't pay extra even if I need to run 3 or 4 tests.
I have adobe acrobat 6 professional so regardless of what program I'm using (I even made many jobs solely on MS word since it was all text that someone else started and quit in the middle) I just print that out.

Sure there are mistakes but nobody is expecting such a perfection even in big dimension print jobs.