For instance, I have a 1996 F150 with a 4.9l and a 5 speed. It barely tows a jeep on a trailer acceptably and I'm using that loosely. It could probably stand to have some help. However, when my brother uses his dually to tow his 30ft 5th wheel, etc... His truck doesn't need any help.
I'll admit some cases with diesels could benefit powerwise, but probably not most of us.
I'd almost like to call bs with the mileage. How many times do you hammer the crap out of it and loose the mileage you gain in other situations.