If a properly operating cooling system does not build enough pressure to make it leak, why would want to make it leak?
I've heard this reasoning for pressure testing a cooling system many times and the logic behind it is a lot like doing a cardio-vascualar stress test at a doctor's office - if you're going to have a problem it's better to have it happen where help is available. I agree with this logic to a certain extent, but pressure testing an 18 year old system is like doing a stress test on a 95 year old person - the likelihood that you'll pass is pretty slim. If the customer is willing to spend money to replace hoses, radiator, etc. if the test fails, then I see no problem but the repairs may cost more than the car is worth.
If you are chasing a leak, using dye and black light is probably a lot kinder to the sysetem.
You can check a radiator cap to see how much pressure it will hold before venting. If it is letting air in or not holding pressure, the system will tend to run hot.
I guess I was a little unclear. I meant that a pressure test on an 18 year old car may cause more problems than the customer is willing to pay for.
I agree 100% that the effectiveness of a pressure tester, like all tools is up to the person using it. It sounds like you are a technician and if so, I suspect that you can tell from a visual inspection whether the hoses and radiator are in good shape or not. Hopefully, a doctor is not going to make a 95 year old patient with chest pains and difficulty breathing hop on the tread mill to see what's going on.