Some garages / machines use pressure to exchange ie flush the fluid backwards, supposedly to clean it.
I'm not calling you out here, but I've heard for years about these alleged "backwards flush" machines, yet I've never actually seen one, or talked to anyone who has actually seen one. All the ones I've been able to verify use the transmission's own pump to push out the old fluid while simultaneously pulling in the fresh...no extra pressure, no backwards flow.
Anyway, as far as the OP's question, my take is this:
Joe Six-Pack drives his car for years, towing his boat to the lake every weekend, driving through the mountains in July with his family and morbidly obese mother-in-law and their luggage for a week, etc. Never even THINKS about his transmission. One day it starts acting up: slipping, whining, shifting funny, whatever. It's almost time for his next oil change, so while he's at Jiffy Loob he mentions it to the "technician" who sells him on a fluid exchange. 3 weeks later, his neglected, abused transmission finally croaks. Since the last thing done was the flush, of COURSE that's what killed it, not the years of neglect. :rolleyes:
Seems to me that if the fluid is all burnt and smelly the transmission is on its last legs and a fluid exchange at that point is too little, too late. If the fluid is relatively clean and pink, then there should be no reason not to flush it.