MS user here, tried out the new patch yesterday. Good stuff for me, my fps increased from low twenties to mid thirties, I seem to have less stutters, and definitely have more traffic in my industrial areas. Trucks seem to be delivering goods in a meaningful way now.
Garbage is still not working right, and my specialized industries still don't export (a semi truck will spawn in full for just a blip, then vanish, over and over). My little city with a population of around 20k (held at that level for a long time now) is doing well and making tons of cash. All my demand bars are full. I do have pervasive 'high rent' issues, but I think that may be because I'm not expanding my city the way the game is intended to work. The whole city now has high land value and low unemployment, so of course CIMS will want to move in, but since I have not added housing in forever, the rents sort of have to go up. We'll see what happens, but I do not intend to grow my population any further in the interest of simulation playability on an old computer.