Well, you have a point. But the one point your missing is that often, the bacterias that we treat our infected fish for - are inherent in our tanks. They are there all the time, they only get a good hold on sick or stressed fish. Or, sometimes, if something goes wrong - like a temperature increase, the bacteria can and will have a population explosion. Inundating our fish with bacteria levels so high, they simply cannot fight them off any longer.
A QT tank should absolutely be available. Its use would depend on what your treating for. For instance, for ich - a QT would not be much help, unless the fish was seriously infected, while others remained uneffected.
QT tanks are also good for overly sick fish, to prevent them from being picked on by the healthier ones. Its nature for this to happen. Only YOU can prevent it!

LOL
Also, QT tanks can be cheaper to treat it, than say somethign like my 125 gallon. Can you imagine how many maracyn tabs I'd need to treat the tank? Its much, much easier to remove the seriously sick fish and move them to a smaller 10 or 20 gallon tank and treat them there.
QT tanks have other uses, too. Such as QT for new arrivals, or just for observations.
Moving a sick fish to a cleaner environment will not likely have a negative impact, assuming water parameters are equal in both tanks. This mean PH, GH and temps.
And, in the case of QT tanks, if you had a sick fish - you'd treat...then dump/clean/sterilize the tank and filter, and hang the cleaned filter on your main tank for re-seeding - and its ready for another use.