The bigger deal to me is having a completely portable format that I can just copy and paste between any number of editors and services without worrying about formatting. Doing that in Word? Not so much.
You definitely don't need a markdown specific editor, but I don't see a problem with using one if it makes writing md more efficient.
You definitely don't need a markdown specific editor, but I don't see a problem with using one if it makes writing md more efficient.