I use piggybacked MRDs, but I also use it somewhat differently than others - I have one mounted on my ELCAN SpecterDR, despite the 1x setting on it.
To me, it's a special kind of special purpose sight - and it works best for me in the piggybacked orientation versus an offset - it works as an emergency backup, and a "heads up" CQC sight, and is zeroed for relatively close work.
Though there's no "cheek weld" to speak of when using them - they are great if you are ever wearing a bone dome, and can't get as tight in, or want to keep your head higher for increased situational awareness (again - most relevant if you've got other additional gear).
IMHO, they can be extremely useful in a military application, where many of these things may factor in to the equation - however, for more civilian, non-SWAT LEO applications, the cons may outweigh the pros compared to an offset mounting solution.
~Augee