No. I haven't approved commands in more than a year. Worst that I've seen was some agent running git checkout -- in a repo with uncommitted changes. Annoying, but not catastrophic.

Imo these explicit tool-level permissions are really just a bandaid for bad sandboxing. Just be aware of where you are running your agent and what data is at risk of being destroyed or compromised. Assume that arbitrary code can run at any time and be prepared to recover from that.