I guess I am not a real cyclist as I have yet to fall because of my clip-less pedals... almost every one of my bikes has some form of foot retention be it old school clips and straps (with no cleat) or modern clipless pedals with most having Shimano SPD pedals while my road pedals are Look.

Never switched to clipless until my back injury and the neuropathy in my leg made riding without some firm retention very difficult.