Modality vs Tense
This isn't a new idea. The point is that modality is different from tense, that's all:
I couldn't do it.
(remoteness of time)
It could happen.
(remoteness of possibility)
Could you do me a favor?
(remoteness of relationship)
Modals You must see a doctor. => It's required; strongly recommended. You should see a doctor. => It's recommended. 
