I don't mean to imply that you can't fix a malware issue that way (if you can successfully do so - see the comments below) - but the basis of the discussion is that the intent is to clear up the current installation. If someone asked how to repair an engine, responses to the effect that "it's time to buy a new car" would perhaps be valid, (as is the "wipe, reinstall, reload, and retweak" viewpoint) but they wouldn't answer the questions being asked.
Actually, if I had to make a recommendation, it would be to implement a proper and effective backup strategy, so recovery to a useful state is only a re-image/restore away - but by the time that people are infected with malware, it's too late - and in my experience, the people who need help with malware generally are those who would have only thought they had an effective backup methodology in place if they had tried to do so anyway.
"Wipe, reinstall, reload, and retweak" represents for most Windows installation a fairly serious commitment in time - and unless they installed the installation from the ground up with the thought that they might have to do so at a later time in mind - and here we are assuming that they installed it themselves in the first place, or have the experience required to do so - often represents the real risk of the loss of items that are of importance to them.
And laptops are particularly problematic. Often the "recovery disks" - which is all users often get, if they even get that - wipe the partitions before installation, or do a destructive reimaging, many times aren't even the same software stack that came with the system ( and work even more poorly than the software that came preinstalled if they work at all ) and doing a non-recovery installation often requires both installation media and drivers (on disk - and a disk drive that the user doesn't have either!) that the end user was never given in order to do the vanilla install. The technical level required to successfully rebuild the Windows install on many laptops is often much much higher than that of the end user of the laptop in the first place - and can exceed that required to clear the malware off.
All IMO, YMMV, etc.
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