I hired duct cleaning company out of "Service Magic" website. I did not realize the name of his company was Duck cleaning of Central Florida...that should have given me a hint.. The guy did a very poor, incomplete job, and ruined a closet full of clothes when he sprayed up to clean a vent instead of taking it down and cleaning it outside. He left me with more than 1/2 dirty vents and ducts, did not do the air handler in the garage and failed to fog the system. He spent 6 useless hours at my residence and now his insurance is denying coverage..very disappointed in Service Magic....
I hope that those customers you have with breathing problems don't follow your advice too closely. You are doing them a disservice. Dirt in your ducts does not always stay there, depending on what the contaminants are. I bet you tell your customers not to worry about mold either- just to kill it with bleach. Educate yourself before opening your mouth- You may kill someone someday with your opinion.
As a homeowner and an owner of rental property I can tell you that the air ducts sometimes need to be cleaned. If you have had pets or anyone smoking in your home (even a visitor) for any length of time, having the ducts cleaned is really good idea. I had a tenant who did not smoke, but got married to a smoker more than year after moving in. When I realized someone was smoking I had them move out, but the smell was awful. I had the ducts cleaned and sanitized (it was a bit extra). The ducts were shiny like new afterwards. I left the windows open for a few days and we cleaned the place super clean and then replaced the carpets. The duct cleaning was worth every penny because the house looked, smelled, and felt new afterward. I plan to have my own house ducts cleaned again this year as we have two cats. We had them cleaned about 12 years ago and they found building materials in the ducts! If you move into a house that has never had them cleaned, it is good to do it. If you have allergies, clean the ducts to see if it helps. You never know what is in your ducts if you have never had them cleaned.
You may consider having your air ducts cleaned simply because it seems logical that air ducts will get dirty over time and should be occasionally cleaned. Provided that the cleaning is done properly, no evidence suggests that such cleaning would be detrimental. EPA does not recommend that the air ducts be cleaned routinely, but only as needed. EPA does, however, recommend that if you have a fuel burning furnace, stove or fireplace, they be inspected for proper functioning and serviced before each heating season to protect against carbon monoxide poisoning.