The easy answer for me is, in a jet boat you use reverse a lot in slow speed maneuvering combined with the throttle. Hand controls require you to do all this while pulling out a knob to allow the reverse bucket to drop so you can control the boat with reverse. PITA like GT said.
I hadn't thought about that one...good point.
A foot throttle has a return spring on it if your foot leaves the pedal (or the boat), it just idles.
Not quite the same outcome with a hand throttle, the boat will keep going without you in it, I've seen it happen, once is enough.
If you do use a hand set-up, install a kill switch & lanyard, and use it.
Dan'l