This really does not need to be an either/or. They have different uses. You can stick in 20 printfs and get a quick feel for where the bug is far quicker than stepping through the code - especially if you set a breakpoint and hit run, only to realise that you've overshot. You can run the program 10 times with different parameters and compare the results with printf much more easily than you could with a debugger. But, once you've found the rough area, a debugger is much better for fine grained inspection, and especially interrogating state with carefully written watches.
I do get your point about the risk of leaving in some trace by accident. But it feels like overkill to throw away such a valuable tool just because of that.
There's no good reason you shouldn't be able to have an IDE maintain a text overlay of debugging points which is solely supplied as breakpoint scripts to the debugger instead.
IDEs seem to conk out at click to set breakpoint.
Not having the debugger fully integrated into your integrated development environment is strictly a problem of the commercial Unix and open source crowd and their "Real Programmers are fine with stone knives and bearskins" machismo.