I do hand quilting because I like the tradition of it and I feel there is more of "me" in the thousands of tiny stitches I made.
But if our mothers and grandmothers had all the modern conveniences we have you can be sure they would have used them. They reveled in every new thing that came out in their time. Think how excited they were with their first electric sewing machine. Our our great grandmothers with their first treadle machine - a real "modern marvel" back then. They were thrilled with electric refrigeration and gas vs. wood stoves. They would expect us to use anything that makes our job easier.
There would be a lot less "comfort quilts" in the world if we were still tracing cardboard templates and cutting with scissors and hand stitching....a lot less comfort.