I've only ever used clinchers with tubes. Since the 90s, I've only used high puncture-resistant tyres (Marathons and Vittoria Randonneurs). Iirc, I haven't had a puncture since the 90s. I ride mostly on rural narrow (single track) lanes but I will venture onto tracks, paths and towpaths; I also ride on city roads (utility rides). Some of my riding is fully loaded touring. I currently have a touring bike and a folding bike. I started cycling in earnest in the late 70s and certainly got more punctures in the 70s/80s/90s but they were never a common occurrence - I can't remember but I would be surprised if I ever had more than 5 a year and I suspect it was more like one or two a year (except for when I took to riding inside the factory I worked in and started picking up swarf in my tyres - I didn't do it for long).