I'm really not sure what you mean. My guess is that you have never used this type of minimal theme. You can't drag the top of the skin...thats the seek bar. Anywhere outside the buttons and below the seek bar can be used to drag. The buttons are spot on as far as alignment and the seek bar thumb is supposed to be discrete. I have been using this skin for months now, and it definitely doesn't "suck to use."
If you have any experience whatsoever with minimal winamp skins you should have no trouble using this. But, if you are jumping right off of classic fullscale skins it might take some practice.