This thread is certainly interesting-especially because I've been dealing with problems in several of my tanks since before last summer.
I admit that I QT most new arrivals and treat proactively with PraziPro as well as use medicated food (Kanaplex + Furan-2 + Metroplex with FOCUS), and both these procedures were recommended by experts here at R2R. Before getting that sound advice, I would QT new arrivals in CopperPower. The exceptions to following these protocols were for my 3 ruby red dragonets (added directly to my 29 gal FOWLR) and my Mandarin, which was added directly to my softy BIOCUBE. I feel I got lucky when they were added to their respective tanks. In my large tanks, I've had nothing but heartache this past year with sick fish (See my past and current threads). Even after QT, proactively treating, and putting most fish through a month of CopperPower or CP treatments, I still have sick fish, and I have spent literally hundreds and hundreds and hundreds of dollars on salt, equipment, and medications to run my QT tanks this year as well as more money spent to restock lost fish.
After reading through this thread, an ahh-ha moment occurred. When my 180gal finally cycled, I added my snails to the cycled tank, but I did not wait 72 days after adding the snails before adding my first QT fish. How dumb is that! It only takes one mistake to undo all the work and expense one expends to QT fish. I think unless one is never distracted by real life, QT can be very effective to prevent pathogens from entering a tank, but keeping the tank free of problems takes true dedication to daily/weekly/monthly routines and there can be no mistakes made. When problems happen (such as my skimmer problems or the lack of QT for my snails), it's easy to see why stress has decided to wreck havoc on the inhabitants of my tank.
Do QT, don't QT, medicate proactively, don't medicate proactively, never use medications... add garlic, garlic does not work... The list of how people care for their tanks goes on and on. It seems the only thing most reefers can agree upon is to keep the water quality good - often through frequent water changes. And so it is... Everyone must do what he/she feels is right for his/her setups and the bulk in his/her wallet/pocketbook.
For me, following sound scientific research seems right. The irritating thing for me is trying to wade through what is anecdotal and proven effective treatments via scientific research, so I try to follow the advise from people at R2R that have like methodical, scientifically based processes. I try to adopt preventative methods and treat active illness in my tanks using their procedures because I trust in their experience and expert opinions more than my own limited experience of about 3-4 years. If one is experienced and trusts his/her ability to know how to fix the issues that come along, than I'm very happy for that person. Truly! I hope to get there one day!
So, just why are there so many theories among experienced reefers about how to keep fish healthy in our tanks? I think it's human nature. When all is said and done, we follow the advice of people who think most like us because that advice is easily internalized and makes sense to us. But... once in a while, I must admit, I still fall victim to trying out the easiest "fix" (such as my current attempt to use Ruby Reef products) against negative reviews of the products or the expert advice I usually find value in following. I'm a dreamer, I guess. I still want to believe that someone, somewhere, will come up with the miracle product that...well, works!