Douglas, there is no doubt in anyones mind who has tried a tuner that tuners work. Tuners can be used to tune a load, and as well, they can be used to tune a barrel. There is a difference here.
Tuners can be light weight and accomplish certain functions and they can be heavy and accomplish other results as to accuracy tuning.
Generally, and I say again, generally, a light weight tuner can be used to tune the hour by hour changes in the load. Again, generally, a heavy tuner can be used to "tame" a barrel to where it may have a wider load window or just bring a barrel into its best natural tune condition.
Now then, does everyone need a tuner? Probably not. Keeping up with the tuner adjustment can get complicated itself. If you happen to be one of the shooters that start each season with 10-20 barrels then cull the poorer performing ones, you do not need a tuner.
If you have just one barrel, a tuner may be a benefit, as long as you realize the limits of what a tuner can accomplish.
An example of what a tuner can do for a single barrel shooter. You can take an average good load, say 29 grains V133, a good quality benchrest bullet and proper bullet jam and keep that load humming along in most environmental changes.
An example of what a tuner can't do is take a load of, say 26 grains Benchmark, and a 70 grain V-max, A-max, or such and make it shoot well enough to compete in a field of 20 or more shooters in the 100/200 game.