With meds you take a chance of doing more harm than good. Over the years I have had ick a few times and healed it without meds. .
All meds, including human meds, have side effect and you have to balance the benefit and potentail harm. This is why you have to read the instructions on how to use them the right way.
Ick is not fatal to many fish, particually cichlids, and this is why without treatment, some fish will recover by themselves. In fact, in a tank wide outbreak, some fish never come up with ick while others are heavily infected. Many salt treatment appears to be working even though its effectiveness is low because many fish are resistant to ick and cure themselves. For loached, most tetra, you can guarantee that they will be dead soon if you delay the treatment.