Count me in the category that, at the very least, its cheap insurance. Cheap is goood !
I think dogma46an2 is right, I've read there are required yeast nutrients, for example zinc, not supplied by the grains. Checking my municipal water report, no zinc content. So I'm thinking I'll try to keep my yeast happy, and add the nutrient. "If the yeast aren't happy, no one is happy."

Having said that, I have made several beers w/o nutrient. It seems to me they have always fermented OK, assuming healthy yeast, wort temperature is in the ballpark, etc. Being a relative beginner, I'm trying to improve processes and improve my beers.