I'd have to disagree with all of your statements. Not only are they derived from no experience in the field, you are missing keys facts. Ducts even if air tight will get dirty. If they are not getting dirty, it means they are not working. Your returns side of the duct work is always under negative pressure when the system is operational.Therefore it is always drawing air in. Seeing how dust is made up mostly from dead skin humans shed daily. Around 1.6 Pounds of skin a year per human. Living in your home anything that is air born will be drawn back towards the cold air returns. That is what they are designed for, to draw stale air back to the system to be filtered and sent back through the house.Homes with carpet will actually have cleaner duct work than home with all tile or hardwood. This is because carpets hold onto dust particles and you vacuum them up. Whereas on hardwood or tile, dust can run freely back to the returns. Even if a duct system was sealed 100%, which is next to impossible to achieve 100% would still need to be cleaned. The cleaning may only have to be every 7-10 years for example. Most homes require every 5-7 years. And that's if it was done properly the first time. If you constantly hire people that have no or minimal knowledge of duct cleaning, You home would require cleaning more often. Every 2 years. That's a trade secret, The longer they recommend before the next cleaning, the odds are they did it right. That's not to say there aren't people that lie, because there are. Just have your duct cleaner take pictures before and after cleaning. Not just an outside view. Get in there, picture entire joist liners, Whole main runs and even long round pipes. Also it helps to have a company that guarantees their work. If it's not done right, they will come back and do it until it is. Most companies that do this make sure it is right the first time. Your not getting paid to do the job twice.
One of the difficulties encountered by many air duct cleaning service companies is that their attention is not really on air duct cleaning. For example, many heating and cooling companies offer duct cleaning as a supplemental service, but of course their primary business is installing and servicing heating and cooling equipment. For these companies, air duct cleaning is not always given the attention it deserves and is often done by less experienced employees whose interest is not in duct cleaning but in repairs and installs. And it is almost always done with inferior air duct cleaning equipment. Still other firms (like carpet cleaners) offer a large variety of services and claim to “do everything.” Because of their lack of focus they may not actually be very good at many, if any, of the services they offer. They cannot simply buy an attachment for their carpet cleaning machine and magically become a great duct cleaner.
Rheem's RRNL features a scroll compressor with fewer moving parts and less noise than traditional reciprocating compressors. A louvered compressor compartment protects the compressor from the elements and from debris that can shorten the life of the compressor. The Classic series continues to be one of their best sellers, with the addition of the Comfort Alert diagnostics module integrated to assist technicians in the event your system needs repair. 2-5 tons, 13 SEER, 80% AFUE.
If you don't agree with duct cleaning, fine. If there are some things that HVAC people can do to make the system need cleaning less often fine, but to suggest that I need to GO TO JAIL????? If you need to knock others to make yourself look better....... If duct cleaning is such a scam, why are their governing bodies like NADCA (which I do NOT belong to),several manufacturers of equipment, and national restoration franchises (I'm not a franchise either) who provide this service? I guess the whole world is stupid and only HVAC people are smart. I suppose I am scamming them when I clean puff backs, water damage, fire damage, and clean their carpets too? Or did I wake up one morning and say "ya know, it is great to be a hard working, honest owner operator, but I would love to provide a service that unlike everything else I do is a con and rips off the 90% referral business I busted my butt to earn"
It’s 11 years plus in the industry I have only had to sanitize two systems both were slab systems that were in concrete and could be cleaned with a different method than normal duct cleaning. We were able to use water to rinse out the disinfectant. Would you use a chemical on anything else you use to eat or drink with and not rinse it off? The ducts in your home should be thought of as your homes heart and lungs and breathe the same air that you do. And just like us we wouldn’t use bad chemicals in our lungs and heart.

You might also want to check your home for thermal insulation if you live in extreme heat or freezing temperatures. Insulation keeps the heat and cool air in your home, which can lead to a lower electric bill. If the heated or cool air leaks out, your system turns on more often. There are various types of insulation that you can install in your home and a home energy auditor can point out the best places for it in your house.
I am NADCA Certified Air Systems Cleaning Specialist. Over the years I have learned on simple answer to this questions: there air duct cleaners and there are pretenders. There will be no benefit at all if you use on the very cheap pretender because they will not really clean anything. On the other hand if you call a qualified air duct cleaner with a NADCA Certification you will, like 99% of my customers, report improvement with your respiratory problems, you will see less dust and the job will pay for itself with energy savings and repair prevention.
CIBSE publishes several guides to HVAC design relevant to the UK market, and also the Republic of Ireland, Australia, New Zealand and Hong Kong. These guides include various recommended design criteria and standards, some of which are cited within the UK building regulations, and therefore form a legislative requirement for major building services works. The main guides are:

The cost to replace a central air conditioner is about $5,000. However, this price varies depending on the size of your home and the difficulty of the project. It can cost as much as $12,500 to replace an AC unit. The labor required to remove and dispose of the old system adds to the price. The size of your home, brand of AC unit and ductwork complexity can all raise the cost as well.
We bought 2 top of the line Lennox HAC for $29,000 less about $3,500 rebates, thinking they would at least last 10 years. Well, after 6 years, the system leaked. We are paying $1,700 to fix that leak. We thought at least it is still under warranty - yes BUT - the warranty covered $15 & the rest we were up for ,even though they advertise 10 year warranty. We are trying to sell & move out of high cost southern Calif & have looked at 20+ places in Arizona. Most of the houses we looked at were built from 1998 to 2005. We asked if the HAC was original & in most case it was - even though the highs were 115 to 120 & the lows 90F - versus where we live the highs run 85 to 95 & the lows are in the 60s. I asked the repairman WHY ours went out at 6 years. He replied that they just do not build them the same anymore. In Arizona, I did not see any Lennox - mostly Trane or Carrier. We had Fujistu in Australia which were fantastic - nothing went wrong in the 9 years we had them. Also, they had full induction motors not like the energy consuming 2 stage motors in Lennox. Maybe the Japanese built Fujusita still builds quality & the warranty is meaningful?

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The performance of vapor compression refrigeration cycles[26] is limited by thermodynamics. These air conditioning and heat pump devices move heat rather than convert it from one form to another, so thermal efficiencies do not appropriately describe the performance of these devices. The Coefficient-of-Performance (COP) measures performance, but this dimensionless measure has not been adopted. Instead, the Energy Efficiency Ratio (EER) has traditionally been used to characterize the performance of many HVAC systems. EER is the Energy Efficiency Ratio based on a 35 °C (95 °F) outdoor temperature. To more accurately describe the performance of air conditioning equipment over a typical cooling season a modified version of the EER, the Seasonal Energy Efficiency Ratio (SEER), or in Europe the ESEER, is used. SEER ratings are based on seasonal temperature averages instead of a constant 35 °C (95 °F) outdoor temperature. The current industry minimum SEER rating is 14 SEER.[27][dead link]

The three major functions of heating, ventilation, and air conditioning are interrelated, especially with the need to provide thermal comfort and acceptable indoor air quality within reasonable installation, operation, and maintenance costs. HVAC systems can be used in both domestic and commercial environments. HVAC systems can provide ventilation, and maintain pressure relationships between spaces. The means of air delivery and removal from spaces is known as room air distribution.[3]
In addition, the service provider may propose applying chemical biocides, designed to kill microbiological contaminants, to the inside of the duct work and to other system components. Some service providers may also suggest applying chemical treatments (sealants or other encapsulants) to encapsulate or cover the inside surfaces of the air ducts and equipment housings because they believe it will control mold growth or prevent the release of dirt particles or fibers from ducts. These practices have yet to be fully researched and you should be fully informed before deciding to permit the use of biocides or chemical treatments in your air ducts. They should only be applied, if at all, after the system has been properly cleaned of all visible dust or debris.