I use it. I even toggle it back and fourth a couple times in an effort to signal to the driver behind me that his high beams are on (that never works, HA).
Oh yes, backroads are treacherous at night and pitch black here. I had to stop in the middle of the road recently because I literally was blind for a minute. Scary.
The newer cars I’ve driven, however, have had “high-tech features” which are supposed to accomplish the same thing BUT DO NOT (and which mean the designers omit the old tilt feature which does work), which greatly annoys me, especially with all the blindingly bright LED headlights that have become popular.