well ky, you said it, we all have them, couldn't be more blunt about it could we??
fyi, i have never in over 25 years(of haveing fish), never SEEN ICK IN any tank(FACT, NOT EXAGGERATION), and have not had any problems keeping fish for years, salt or fw, until recently i couldn't even have spotted ick,and that was in my lfs's tank, so to say haveing one is the only way to prevent this and other things, only says that someone is not taking care of things properly, and they need a crutch, if you have not had any since then, well maybeit helped you(could be coincidence too, i haven't seen it in over 25 yrs), but they are not guarenteed, and may help, but like i said, i have NEVER had these problems without them, so my opinion is they are NOT neccessary if you take proper care of things to start with
my wife was treating for ick when we first met, about 10 years ago, and the fish were still alive years later(4 or 5), all this is so much fact that if i got ick or any parasite or whatever, 3 times this year alone, i would still consider them not needed and myself successful
and about the aquarium thing, you keep bringing up this good bacteria in the fish thing everytime, YOU KNOW WE ARE TALKING ABOUT THE DENITRIFYING BACTERIA in the system, to name a few, these are not IN the fish, not to mention the other things like plankton and plankton like larvae or fry(many fish and inverts fit here)
IMO, they are not needed for those who take the time to care for things properly, i know others who have had tanks without disease or parasites or whatever, and never ever had them,but if the only way someone can keep a tank alive is with one, then spend the extra money and get one, if you can't manage without, but this still does NOT make them necessary for everybody
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but the are not completely bad, either
but a much more important tool for disease and pararsite control, is a quarentine tank