Since I'm playing devil's advocate, I'll explain why I hate the things. I'm not trying to start a fight, just offering the other side of the story.
It's just my $.02, and worth every penny you paid for it. Gosh, I love that line...
For the sake of argument, I'll presume we're talking about hunter/utility size knives.
Choke up on the blade... I much prefer a knife with an unobtrusive guard (if any) and a short ricasso, to make the most of every inch of blade. From peeling apples to skinning a mouse, I've not had a problem getting close to my work that way. Nor have I ever had a problem gripping the spine between thumb and fingers for close work, while still keeping my tender digits away from the "ouch" part. I have never understood the concept of putting my finger directly against the edge.
Ease of sharpening... so instead of a millimeter or two of plunge that's not sharp, I now have a big ol' divot behind the edge for things to catch on? Nice. And oh yeah, now I can put my finger right there and, well, see above.
I made a couple knives with small, 1/4" radius choils intended to be used to scrape sparks off a ferro-rod. But I came to the conclusion that they interfere with smooth cutting, and sparks can be made just as easily with a nice square spine.
Design factor... I often wonder if big choils are just an excuse to use the Dremel or Foredom tool and make the knife look "cool". No offense to anyone who makes them or uses them. It's just not my preference.
Structurally... I doubt it hurts any unless it's really extreme. It's not like a sharp inside corner that would be a stress-riser. But it sure doesn't help to remove steel unnecessarily in the area that's going to receive the most stress if someone batons the blade through wood or a sternum. (yeah, I'm probably over-paranoid about that kind of thing, I admit it openly.)
Thanks for letting me rant.