Google Fi, at least, doesn't charge any extra for a cell modem: you can get a secondary SIM card and it gets billed exactly the same as using data on your phone.
(That depends on how much it adds to the purchase price though. $100? You bet. $300? Nah.)
I will say that tethering on my phone works in a situation where LTE doesn't work well. However the convenience of not having to worry about connectivity is worth the extra cost for the cellular iPad. I never wanted to be that parent, but it is the path of least friction since my oldest has a lot of acronym mental health issues.
Those people were, and are, completely correct. The 3.5mm jack is way better than Bluetooth for headphones.
Source: I work in IT
When you have an iPhone and MacBook nearby that are on the same Apple ID, the Mac shows a little notification "Connect to the Internet through <phone name>?" with the default button being OK, which instructs the phone to turn on the hotspot and the Mac to connect to it.
The phone also just shows up as another Wi-Fi network in the Wi-Fi menu alongside all the other networks, even if hotspot isn't on, using the same mechanism of letting the Mac remotely configure the hotspot.
If you frequently use it when out, it would be significantly more convenient to just have the cellular built in.
Besides that:
Phones will turn off tethering if they think the connection is idle, to save battery power. iPhones are very aggressive about this when the client device is not an Apple device.
Some cell networks don't support simultaneous voice and data usage, so a phone call will kick you offline.
It adds latency.
Some network operators charge for it because they can distinguish the tethered traffic.
This is another one of those "Dropbox is just rsync+cron" takes: convenience, ease and integration are worth a lot to people.
It’s also just nice to not need to break out a cable.
Like an external separate USB-C ethernet adapter?
Even Macs have it now actually.