First of all, cleaning your ear canals with Q-Tips feels really good. That seems important, but they don't mention this at all.

Secondly, sure, the wax will fall out on its own if you don't Q-tip it....but do you like looking at people with little gobs of wax falling out of their ears?

I clean my ears regularly with Q-tips for those two reasons. Yes I stick them in the ear canal. No I don't push the wax deeper (you just need to twist as you put it in). And no I've never in my 50 years had an ear infection or hurt the eardrum.