Having a high idler (whatever the brand) is beneficial to avoid a phenomenon sometimes referred to as "stacking". At idle, your fuel/air ratio is extremely lean - sometime like 100:1. That's not enough to generate heat, so the combustion chambers cool down to the point where you're no longer getting a complete fuel burn. When that happens, diesel begins to wash down the cylinder walls (reducing lubrication) and can flow down into the oil sump, where it reduces lubrication to critical engine parts. All this is very bad. To avoid it, you idle the truck up a bit if you're going to leave it running for an extended period of time. It's also good if you want to run things like on board air or if you're jump-starting someone.
Sitting in traffic in the winter in my truck I can literally watch the water temperature drop like a rock. After 5 minutes in the cold at idle I can drop 20 degrees water temperature!
Having said that, there are tons of people who just let them idle; I've heard stories of people idling for over 12 hours without any notable damage. So there's no need to panic about this and start thinking "I've got to get high idle or I'll ruin my truck".
-Ryan