I read your article with interest and think it is a good start. One service that is always talked about is fogging ductwork for sanitizing. Many companies offer this service for disinfecting or adding a clean smell to the ductwork. Before any chemical or disinfectant is used, please read the MSDS (Material Safety Data Sheet). You might be surprise on what you are putting into the air stream. This is a high profit service and should be explored thoroughly before purchasing,
If there is stuff in the ducts, the fact that it’s laying there and not being blown into the rooms is proof positive that it is hurting no-one. The 5-6 exceptions you cite in this article I’ll buy, but only with the caveat that at least some of those could have been avoided by proper protection (during remodeling for example) – and if asbestos/lead/whatever winds up in your ducts- the remodeling contractor should be the one paying to remove it.
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.