Greeting Card Printing

Is there a way yet to print a folded greeting card in PSE11? Why is there a "Create Greeting Card" function if it doesn't include the option to print out a folded card? How is it different from any other function like creating a photo collage or just adding graphics to a photo? Is the greeting card function available just so you have something to send to Shutterfly? I've searched the forums and the most recent question regarding this was 4 years ago. Has nothing changed since this was an issue? Having to line things up on half a page for the front and creating another page having to line it up, printing one side, turning it over to print the inside is rather cumbersome.

Thanks.