its something no remotely competent engineer uses, but tool providers love to dick wave around
There are certainly things you shouldn't delegate to an autorouter, but in the same way, the trend towards hair-shirt-wearing insistence that everything be done manually is a productivity cost.
It's no different to programmers who insist on hand-optimizing assembler: Rarely necessarily any more and usually done more out of ego.
The really competent engineers use the tools for the bulk of the problem, and fix up by hand where it makes sense.