Does anybody actually act on the optimisation score?

Account sat at 71 percent this morning. The recommendations to get it to 100: switch four campaigns to broad match, raise two budgets, remove sixteen negative keywords, and adopt a bidding strategy the account already tried and abandoned in March. Applying all of that would spend more money. That's the through-line of nearly every recommendation I have ever been shown... and the score is presented as a health metric, as though 100 percent is a well-run account rather than a compliant one. I'm not saying it's all worthless. Broken tracking and disapproved ads show up there and those are worth knowing about. But I have watched agencies chase that number to keep a badge, and clients ask about it because a rep told them to. So, genuinely: is anyone getting value from it beyond the technical warnings? And do you dismiss the rest, given dismissing also raises the score, which tells you something about what the score measures.