They are the worst offenders (granted, yes there are people that like that sort of stuff, obviously) in terms of bloatware and 'Sense' never lived up to its name for me.
I could be wrong, I live in the UK and I've never had any specific apps come installed on my phone. Nothing except a network's app to check your balance/plan usage, which is easily uninstalled.
As for the SIM Toolkit. I'm now sure how that gets on there, but it appears to be there even after flashing a custom ROM.
I think there's a difference between a manufacturer's own UI and corresponding apps, and the sort of crap that gets shovelled onto the American handsets.
Edit: Actually I've just checked and my phone does have Adobe Reader! Didn't even notice that there... Oops.
Things I don't use, don't get updates for and can't uninstall: Entertainment, EXpresso, Finance, Football, Footprints, Friend Stream, Games, Horse Racing, Info Easy Reader, Invest Pro (for CSL only), Magic Smoke Wallpapers, Musicholic, MyNet, Peep, Plurk, Smart Traveller, Social Network, Stocks, Studio On Demand.
If any knowledgeable person knows if the above names are actually useful tie-ins for things I actually do use, please speak up here.
All these apps supposedly take up 0.0B of space. Perhaps some of that magical space could be used to give me Android > 2.2, and give HTC a reputation for caring for their customers.