Surely they're made on CNC machines now? (well, since the 1970s)
The CNC doesn't know either. What usually happens is that an engineer at the CNC shop figures it out for you.
Knowing some machining still lets you design parts and assemblies that are some combination of cheaper, better, etc. This is noticeable with precision or high performance assemblies. And how many revisions are needed.
Lathe, mill, CNC, or matter transmuter, doesn't matter. Effective design only becomes possible with intimate knowledge of how it is built.
Doesn’t matter, if you ask for physically impossible features to cut this is something you could technically do. Or you ask for a feature that adds multiple setups to an otherwise simple part and makes it wildly expensive