There really is a lack of tools, but the vendors are starting to move forward finally.  I think with MS taking the lead we're going to see the other DB tool vendors wake up and realize that their toolsets don't really reflect modern development practices.  There has been virtually no thought leadership coming out of the data management community for years now, many of them still haven't come up to speed on evolutionary if not agile development, and they're struggling to deal with the new ways which development teams are working.  Worse yet, some of them are still pushing the outdated, and largely disproved, serial and/or command-and-control approach to development.  It's pretty sad.

Anyway, if you want to help things change in the data community, please start pointing people to http://www.agiledata.org.  I think it will give them something to think about.

- Scott