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As Bansheebot and Zer0 mentioned above, it's so you can face tougher challenges and get even better gear. Is it necessary? Probably not, but this is an ARPG so loot is the name of the game.
942 hours, and counting. IM CATCHING UP TO YOU!
I'm playing UVHM now and I love it, so challenging and fun, frustrating at times, but fun.
If you didn't enjoy the game the first time through, then there is no point.
Even without any DLC, there are just so many side missions that you could never do all of them in a single playthrough without ending up 10-15 levels over what you should be. Sure, the main questlike is the same, but the path you take along the way is different.