The Makarov, for all of it's support, is still an out-of-production gun. It is also large for a .380. I own an IJ-70, a commercial Russian offering from back a while. It is markedly less well manufactured than my E. German Makarov. It's trigger is worse, the "adjustable sights" make the gun harder to conceal, and the overall fit and finish look like it was done in the old High School Shop Class.
To me, the various medium-small .380's work better. Things like the Kahr, the Kimber Micro, the Colt Government Model .380, and others of that size range are easy to shoot, and conceal.
Then again, we all live in America. Other countries, or California may limit calibers that non-military or police may own. In those cases, and they do exist, the .380 isn't enough argument proves pretty futile.