Yeah, those are the older type of spa/tubs, with a GFI built-in protecting the control wiring, but not the heating element itself.
I would get a call from the owner complaining that the tub was not heating, and find the element drawing 1.4 Amps on one leg, and 4.5 on the other. All that current was leaking into the water. Removal of the element revealed that it was blistered open --- ruined.
No one ever complained about getting shocked, even though the element was probably leaking current for months or years before blistering open and final failure.
On newer tubs with complete GFI protection provided at the source, the breaker would start tripping long before any blistering of the element could occur. I've replaced dozens of "bad" elements that looked perfectly good, but since they were leaking current, they could not be used due to the "nuisance" tripping of the supply GFI breaker.
On a side note, it's amazing the number of homeowners who assign blame to a bad breaker instead of a possible problem(s) with the hot tub, or its heating element, etc.