MrRoboto1212 If RCS is working then Etouffee is true. It's effectively just another way to check if RCS is working. In other words, when people get to that stage where RCS says "connected" in Messages' settings, but they are still unable to send and receive RCS messages, it's because Etouffee is not provisioned (not showing "true" in the debug menu). Both of those things have to be accomplished for RCS to work, "connected" and Etouffee "true."
I just find it more convenient to enable the debug menu and check if Etouffee is true, as a way to know that RCS is working, than looking around for a text thread that I know should be RCS and see if it says "RCS chat with...." Also, there is no way to tell in a group chat if it's working. Once RCS gets to connected, the text entry field in a group chat will say "RCS," but the only way to tell if it's working (other than checking Etouffee) is to send a message and see if it fails.
So checking Etouffee is just a more technical way to know that RCS is working.