Since the 1980s, manufacturers of HVAC equipment have been making an effort to make the systems they manufacture more efficient. This was originally driven by rising energy costs, and has more recently been driven by increased awareness of environmental issues. Additionally, improvements to the HVAC system efficiency can also help increase occupant health and productivity. In the US, the EPA has imposed tighter restrictions over the years. There are several methods for making HVAC systems more efficient.
Duct cleaning is a band aid, like washing you hands is. Under your description, why wash your hands more than once? If it gets cleaned once, it shouldn't get dirty again. Well that is, unless they touch something dirty. Keeping your hands completely clean is virtually impossible. Same as keeping dust out of your home. You clean your ducts and over a 3-5 year span they get dirty again. Also, duct cleaners are not licensed but should be certified by NADCA(National Air Duct Cleaning Association).
Professional cleaning involves getting the dust and debris outside, so they use outdoor ventilation equipment. It is so important that homeowners make sure the professional contractor is using good equipment then, as they could otherwise spread the spores into the home and further agitate sensitive family members. In the case of mold, a cleaner will only be able to tell you it is there, followed by needing an additional mold professional to come out and test or remove the mold. Air duct cleaning industries do not require state licensing, so make sure to check for a company with references.
Capacitors -- Capacitors help your HVAC motor start from a standstill. Over time they can weaken. As they weaken, they cause the motor to run hotter. This can shorten the life expectancy of your motor. Once a capacitor fails, the whole motor will stop working. You usually won't notice that a capacitor has weakened until your motor stops turning on.
If you believe that the AC's not working or you're getting little or no cold air, check these three things first. Make sure all the registers in the house are wide open. Then be sure the furnace filter is clean. Then go outside and clean off the condenser coils (Photo 2). If several registers were closed or the filter was clogged, the reduced airflow could have caused the evaporator coil to ice up and stop cooling your home. If you've changed the filter and opened all the registers and you're still not getting airflow at the registers, deice the A-coil. Move the thermostat mode switch from “Cooling” to “Off” and move the fan switch from “Auto” to “On.” Let the blower run for at least 30 minutes or until there's good airflow at the registers. Then turn the AC back on to test it. If it works for the next 12 hours, you've solved the problem.