I have a MacBook Air 2015 with Catalina 10.15.5. And I don't really have a problem. Got the impression from what I was viewing that perhaps reinstalling was something one should do every so often as a matter of good practice. Glad I asked the question above! Sounding like my analogy with a heart transplant was right! Thanks, folks!
If your drive has actual errors, the drive won't be repaired by being wiped. The advice perhaps stems from mechanical drives where bad sectors can be marked as such and avoided, decreasing the storage space available but not writing data in bad regions. This would also happen without a reinstall, but you might see corrupt files before it is detected. - This is not a concern for SSD that typically don't fail in this manner.
Regarding fragmentation, yes, deleting everything and reinstall can reduce fragmentation. But again this is mostly a concern for mechanical drives, not SSDs. And you also don't need to delete everything for it. If you have enough free space to for the OS to re-arrange items on the drive it will regularly do so on its own to avoid too much fragmentation when necessary and there are commands to do it on your own as well.
That being said, someone else will post here about how amazing and fantastic their system's performance is after routine wipe & reinstall, so there are two sides to the coin for sure.
And those people are probably right. If they accumulate a million programs that run in the background that they don't know about, starting from fresh won't have all that running. But yeah, absolutely no need to wipe clean all the time unless you're doing it for a specific reason. - Well, possibly with Windows... Windows tends to rot over time, corrupted registry entries and such...
And I say this as someone who does regularly reinstall macOS - that is, I have a main install that I barely ever touch, and then I have another partition where I reinstall a fresh version regularly for beta releases and software development testing. And I have an external SSD with Ubuntu Mate and a third macOS set up with my minimal support target, again for testing.
In short my conclusion is also "Don't worry about it".