Is it not truly ‘macro’ when you use these tubes? I’m under the impression that it brings your minimum focus distance right in, but it results in a far lower quality image than true macro
Within photography there isn't a strict term for macro as such (nikon doesn't even call their macro lenses macro and instead calls them micro). This is partly gotten away by the fact that the majority of photography is artistic rather than scientific and when science and accurate measuring is required aides (eg a ruler) are often used within the photography for scale rather than calculations based off photos.
However the generally agreed upon definition by the vast majority of photographers, books and references is that
(true) macro is when the size of the subject reflected on the sensor by the lens is equal to the size of the subject in real life. Written as 1:1 ratio.
Now extension tubes work by reducing both minimum and maximum focusing distances on a lens they are fitted to. They are used for two primary functions. First to get macro or close up photography shots; the second is to gives a closer working distance for some super-telephoto lenses where the min focusing distance of the lens might be several feet and where a setup (eg hide trained on a bird feeder) might bring subjects far closer than the minimum distance.
The rough maths for extension tubes is:
(Focal length of the lens - divided by - length of extension tubes in mm) + magnification of the lens
Baring in mind that the magnification of the lens can change through its zoom/focusing range and that in many non-macro lenses this value is low enough that, in most casual uses of the calculation, its often left off so people just focus on the division.
From this rough maths and definition you can see that a 50mm lens and around 50mm or more of extension tubes (eg a full set of kenkos) would give you a lens that achieves slightly more than 1:1 magnification; thus very comfortably into the common definition of true macro (with regard to photography)
As said above, extension tubes lack optics so they won't directly degrade image performance in that regard; but moving the lens further does magnify the image generated and thus will highlight any weakness in the lens. That said many times the lower image quality is the result of imperfect method by the photographer. Often not using lighting well or not accounting for the dramatic reduction in depth of field that macro brings with it.