Is the only reason many other [tube] amp designers don't do this because the autotramsformer is another component in the signal path? What is the trade off?The big tradeoff is cost. And weight. Which is the same as cost. Oh and did I mention price? Sure there are technical disadvantages, but those can be fairly effectively solved by more weight, and/or cost.
The modern Mac solid-state amplifier may not be everybody's cup of tea, but they are standing on extremely solid technical ground with their use of an output autoformer. There's no reason why they should have flabby bass (i.e. they have good LF response and pretty high damping factor) . . . I just think that most SS amps have thin-sounding bass, and this what many speakers are well suited to.
The cost/benefit equation is probably different for McIntosh as well, because they manufacture the autoformers in-house. Rumor has it that the winding machines they're using today were specially built by Frank McIntosh and Gordon Gow when the company was founded . . . and they've always had autoformers in their solid-state amps. This means that all the costs required to build the tooling, and recruit, train, and manage skilled people to do the work, is already fully depreciated.
For another company that would have to invest in this or outsourse it, it's hugely, vastly cheaper to build a direct-coupled amp to the lowest expected impedance . . . and there's also sound logic in the idea that there's better places to put manufacturing resources than into an output autoformer.