Имеют ли современные компиляторы C ++ встроенные функции, которые вызываются ровно один раз?

Другой ответ, возможно, быстрее:)

distribution = [(1, 0.2), (2, 0.3), (3, 0.5)]  
# init distribution  
dlist = []  
sumchance = 0  
for value, chance in distribution:  
    sumchance += chance  
    dlist.append((value, sumchance))  
assert sumchance == 1.0 # not good assert because of float equality  

# get random value  
r = random.random()  
# for small distributions use lineair search  
if len(distribution) < 64: # don't know exact speed limit  
    for value, sumchance in dlist:  
        if r < sumchance:  
            return value  
else:  
    # else (not implemented) binary search algorithm