I can't do handdrill. I managed one ember but my hands were a blistered mess. I have overly sensitive skin, pressure is a real issue
Using the pump drill makes it easy though.
I got very good with the bow drill for making embers; I demonstrated it multiple times a day for weeks on end, for several years, but my damaged joints just ache now. Even kneeling isn't something done without effort.
The pump drill doesn't need to take ages to make, it just needs a bit of forethought, and the cordage isn't under quite the same strain as in a bow drill so it's inclined to last longer too....and you can make it work easily with leather or even rush string and it'll work.
Fit and healthy ? bow drill every time. It's simple, it's reliable, it works, and it doesn't leave your hands or neck/collar bones aching either.
M