Apart from drinking it, I had zero experience with Espresso before getting the machine. Yes grind setting matters (though it would make no sense for me to tell you what grind setting I use because it's an arbitrary number, specific to the brand/type and sometimes even unique to the grinder), and temperature, and pressure, and amount of coffee. But from day 1 I could produce consistent shots by keeping those variables the same in between shots which isn't rocket science so I still think your comparision with a PHD is a bridge too far, it's really not
that hard. Ok I'm a handy engineering type, but if you read on forums it's pretty clear: people without those skills also manage to produce consistent shots. You could blame that on confirmation bias, but: have you ever tried a manual machine yourself and got a decent espresso out of it?
you'll see the cost further increase
Of course. But making consistent espresso without a decent grinder, now that's hard, so you know on beforehand it's in the price. And a grinder lasts years or decades and it's pretty likely a decent manual machine does so as well.
Also, manuals lack a steam wand which is a real downside.
Only if you want it, which I don't.