You might have to wait until the end of the week to get your patch while we have it now, but remember that updates break mods, which most PC users on this forum have. Sure I can load up my game, sure it looks awesome, sure I have all this cool extra stuff and the benefits from the patch, but due to how patches break mods, I can't even open my pipboy. Yep. Can't equip anything, can't drink water to not die from thirst, can't look at the map. Not just that, but I can't sprint, use night vision, or anything really. The game is basically broken until NVSE updates. So really, you aren't missing out on much. And yes, I set Steam not to download the patch. It did it anyway.
http://i53.tinypic.com/2roqlit.jpg
Lots of stuff in my game doesn't work, and won't for a while. That should make up for time lost on the patch due to Sony / Microsoft incompetence / greed.
EDIT: Is it just me or are image tags totally broken?