There's no (non-cloud) syncing, or easy backups. There's no file attachments, or custom fields, or non-website-based accounts. There's no automatic checking for duplicate passwords, or old passwords, or alerts for websites known to have been compromised.
I don't use a web-based password manager like LastPass because I don't really trust it (for either security or reliability), but local password managers are great for storing all kinds of private data. How would I store my driver's license, my storage unit lockbox combo, or my marrow donor registry ID in a web browser?
I've been encrypting my Firefox password store for so many years I can't even remember.
Is that not secure or something?
(Maybe they've fixed this since, I'm not sure. It doesn't seem like security is being taken very seriously in any case.)