Well I DO use cd roms to produce images, which I then cut out with my Nesties and decorate with gems, glitter or glace. But I also hand emboss the background card on which it is mounted, make little bows to stick on etc. I print my greetings on the computer because I absolutely HATE peel-offs. The thing about creating cards this way is that they can be PERSONALISED - something shop bought cards don't readily offer.
In my opinion, if a beautiful card is produced from what was once simply a white sheet of card it IS hand made. Inidentally, I now print (om my pc of course!) "Created by" instead of hand made.
Sylvia x