Alternatively, what happens when you want to transition away from KeepassX and to another, better, more advanced password manager? Or away from password managers all together?
There are so many meta-problems to deal with when using password managers, I think in the long run they might be more trouble than they're worth.
As for "if your database gets stolen", that is covered by the encryption of the data and the login method: a password that you know (this one you would have to remember, obviously) and a key file (this may or may not (probably not) be counted as two-factor authentication, depending on how you manage the key file). The thief would not be able to open the database to find your credentials.
If the credentials store and the credentials required to access it are both compromised, so someone does have access to all the data stored within, then you have the problem of changing all those credentials before anyone malicious does something with them. With a backup of the database you have a convenient list of everything that needs to be changed so you don't forgot something important (though anyone else with access to the compromised data also has this list...).
While having a central key store creates its own problems if it itself is not secure, I think that little extra risk is small compared to the risk from other password management (using easy-to-remember things that are thus probably easy to guess, and/or even worse: using the same credentials for many uses). The risk of compromised password store is a local issue, so is something you can control (and hopefully mitigate) locally - no one can try brute force my keepass DB remotely unless they somehow get hold of a copy (which is possible I suppose, but not easy and would require them to be specifically looking for my credentials rather than a more general hacking attempt), but they could try brute force any of my many online accounts or just hack a poorly coded online application and read badly protected credentials.
Bad password managers (or good ones badly used) are a problem as you describe, but if used right a good credentials store with unique random long passwords for every service/account is (IMO) better than any other suggested solution I've come across.
So, no, there are no problems using password managers. I don't understand how somebody can be NOT using one in this day and time, seems pretty crazy to use insecure or similar passwords.
On a totally unrelated note, I think this abuse of the word 'meta' has gone to far and has to stop. Why are these 'meta' problems and not just problems?
2) You can export a text file or a xml file easily.
I'm not sure what OS you use, but many terminal programs on Linux (and at least one on Windows) allow you to paste by right-clicking or middle-clicking. Or by pressing ctrl-shift-v, but I find that slightly awkward.
It also has support for sub passwords (such as "work/twitter") where it simply generates the "work" password and uses that to generate the twitter password. That way I can give the work password to anyone who needs it and they can get into twitter/etc, while not needing to remember it myself.
This is useful because I can upload the password generator to a website, along with keeping copies on my phone and pc.
I'd be interested in knowing the cryptographic security of this scheme, but I'd assume its pretty good.
Handling such exceptions is somehow unpleasant.