My experience so far:
I have seen many many reefers, with complete wipeouts following (probably they do it wrong) Pauls Ideas!
I also do belive in boosting inmune system (Paul ideas! RULES! jeeje), with live food, guts, clams etc. Probiotics. I also belive that probiotics will not solve all problems. You know we can feed also natural antibiotics? actually with whiteworms for example and bread or similar food for them, we can create antibiotics naturally (just make a quick search on home made antibiotics / Penicillin)
The theory of expose fishes to most diseases intentionally, do no... Fishes form diferent regions have inmune system developed for some things, but not others.
LFS: They are some that are pretty good and they care, and sell fishes with no illness (or they do their best to achieve it). I have seen reefers buying from some stores, not to get anything and do what Paul Said with success (Yeah I have seen that too!). On the other hand, IME those stores are exeptions, usually stores do care, but problems sometimes are hidden to the normal eye.
If you buy from different LFS, do QT!
QT also for me is not a disease free tank, is just a copy of your main tank, with much less deco. For me fishes can live in the QT with no problems.
So far in less than 2 years, I have avoid at least 3 huge problems in the DT using QT.
Tangs are problem magnets, I love them, but the do catch almost everything (specially, Leuco, Aquilles, Japonicus)
QT for me is for observation, and feeding, BIG. DO NOT TREAT anything in QT.
New fishes can have 2 problem (and much more), first one: Bring something that can kill your complete tank with fishes, or second: Have a low Inmune System and die in your DT. That is why I do QT, I have experience both cases.
Of course QT is a Pain, and if you do not have the space, is a real pain.
I also know reefers that they to scared to add a new fish in the DT.
I DO QT ALL! But I DO NOT SAYING QT is the way to go, just look at the facts, and do what you feel is best.
That was my brainstorm...jaja a total mess!
