DNSSEC alone is obviously useless because any attacker interested in SNI hostnames can just as easily monitor DNS traffic.
However, DoH/DoT without record integrity is about as useful as self-signed HTTPS certificates. You need both for the system to work right in every case.
To quote the spec:
> Clearly, DNSSEC (if the client validates and hard fails) is a defense against this form of attack, but encrypted DNS transport is also a defense against DNS attacks by attackers on the local network, which is a common case where ClientHello and SNI encryption are desired. Moreover, as noted in the introduction, SNI encryption is less useful without encryption of DNS queries in transit.
I don't think this is true; I think this misunderstands the ECH threat model. You don't need record integrity to make ECH a strong defense against on-path ISP attackers; you just need to trust the resolver you're DoH'ing to.