1.
I use a lightmeter because it can measure ALL my lights, I'm not interested in the JPEG histogram anyway, but in the dynamic range I can get in ALL my channels with RAW. In other words, calibrate your meter to your camera and a whole new level of photography opens for you.
Accentlights and hairlights are not registered on your camera's histogram and the histogram is wildy inaccurate when you know what you are doing, it's a nice last resort.
and to be honest with a light meter I work 10x faster than with the histogram

But I use complicated light setups sometimes.
2.
I think it varies on who you ask.
I shoot ISO50 in the studio only, for a VERY simple reason I don't care about Dynamic range because I control that with my strobes (and lightmeter

)
But ISO50 is VERY VERY clean and that is something that pays back in workflow.
You can achieve the same by exposing to the topright in RAW and pull back but ISO50 just is easier to incoörperate in the workflow.
But on the other hand everyone has their own opinions and workflows
