I'm a big fan of open data formats and plain text markup, and I write a lot of fiction in Markdown. I love this notion in principle. But I suspect it's a lot easier to put into practice when everyone involved in your book's production is down with your toolchain -- which may mean everyone involved in your book's production is you.
(For the record, I convert the Markdown to rich text and do final formatting in Apple Pages for manuscripts that I'm submitting somewhere else. For novella-on-up length work, though, I'm one of those annoying Scrivener converts.)