I think it's hard for what Gand calls "real" pastry shops to survive, at least if they don't find a great, high-traffic location. There was an absolutely splendid pastry shop in Glenview -- Dessert Gourmet -- only used real and natural ingredients, had amazing flavors, used real butter in the butter cream, had incredible quiche, and even made astonishing gelato -- and it vanished. It costs a lot more to produce pastries that are 100 percent "real,' and unless you're highly trafficked (as I'd imagine Julius Meinl would be), none of it lasts very long without preservatives, so it's either all custom order, or toss it out in a day.
I'm glad to hear that there are some places she approves of, though I'd be surprised if there weren't actually more top notch pastry chefs, especially in the better restaurants.
All that said, I can't honestly say much of what Gale Gand did ever really blew me away -- it may have been "real," but it often seemed either goofy or ill-conceived. Mary Beth Liccioni always topped Gand, in my book.