A great point. It does depend on your use case, and your dependence on manual operations. For our organization, almost all database interactions and maintenance are performed in code; if somebody is connecting manually, something pretty bad has happened. So for us, we are not really impacted by having to perform port forwarding like this on rare occasion. I completely agree that it could be much more impactful to other organizations.

I'm curious: why is utilizing port forwarding over these mutually authenticated SSH tunnels less secure than employing a VPN? From my perspective, port forwarding still adds a level of intentionality which reduces the likelihood of an incident/accident.