Growing up my father had bad arthritis, so he always used an automatic. With losing dexterity in his fingers & the last 2/3 of his peter pointer finger due to a lumber cutting incident...it was hard for him to grab and shift an - automatic column shifter (the cars he owned). While on holidays (Florida) we were always given a car with a - floor mounted auto shifter. My father had to turn and use both hands, the left to push in the button the right to shift the lever. When I first saw paddle shifters on Ferrari (driving cars) I said...I can't wait for when they finally work there way down to gaming wheels. I never saw the need to remove a hand off the wheel your steering with to grab onto a shifter, shift and put your hand back.