I think that MC should turn your PC into an entertainment station. You should always be able to control its main functions, no matter what other program you are using. Right out of the box, MC is just another Windows application. You have to ALT-TAB to MC in order to change tracks and so on. I think it deserves native global hotkeys.
At the moment, I have devised two ways of adding global hotkeys to MC by means of external programs
Girder
http://www.promixis.com/ is a program to give commands to the PC from a remote control. The current version of Girder (4) is commercial. The older version 3.2 is freeware, if you can still find it. With suitable plug-ins, the PC keyboard can be used as a remote control for the PC. You can find further information in this forum, by means of a search.
True Launch Bar
http://www.truelaunchbar.com/ is a powerful replacement for Windows' quick launch, that includes a plug-in to control many players, including MC. It can control the main functions of MC via hotkeys, and it can also display the title of the current track in the Windows taskbar. Only a few functions are supported, however. For example, FF and REW are not supported. I could not have True Launch Bar working with MC11, although it should support MC10 as well as MC11.
I think that MC should natively support global hotkeys, at least for its basic functions, in order to be more enjoyable to less technical-oriented people.