There are many types of antennas that, by design,
don’t have a low SWR when used with a 50 ohm
feedline. That doesn’t mean they are bad antennas,
just that they are optimized for other criteria (gain,
front-back ratio, multiband operation, simplicity,
efficiency, or any of a number of other factors).
Often these are multiband antennas, where attempting
to get a low SWR on every band where it can work is
simply impractical, at least within the design criteria.
A wide-range antenna tuner with a low-loss balanced
feedline can make a very simple and effective multi-
band antenna.
Now, if the antenna is designed for a 50 ohm feed,
and you still need a tuner, then either something
is wrong with the antenna, or the bandwidth is too
narrow.
When you are using coax, the losses will generally
increase with higher SWR. (There are certain
exceptions, but don’t count on them.) When the
SWR is less than 5 : 1 or so (at the antenna), losses
generally aren’t a major issue, with a reasonable
choice of coax for the frequency and length.
One problem, however, is that the SWR in the shack
generally is lower than at the antenna, and that can
mask potential losses.
So when using a tuner, especially with coax, it is
worthwhile to do some analysis to make sure that
the losses in the coax (and the tuner) are acceptable.
If they are, there is no problem with using a tuner.
In other cases, over half your power - and occasionally
even 90% - of your power may be lost in the feedline
rather than radiated from the antenna.
So a tuner can be a useful device, but some due
diligence is in order.