Well the consideration is this for the intuos 4 or 5.
I first just recommend getting an extra USB cable for either device. I swear the ones that come with the tablets are ...cheap

And you can get a cheap one that is better built.
Now for the next set of questions. It depends what you want. I will say that having a wireless option (and I bought the wireless kit which is an extra 40) is nice. Bluetooth has been touted as a bit slow, and I think the USB receiver is pretty flawless. In fact, I tend to get better response time with the keys and touch ring for whatever weird reason.
If wacom can kindly state the "nominal fee" we're looking at if the tablet gets scratched it would be nice. I think someone bought the
http://amzn.com/B007IWKQQQ cover and said it was a bit slick in the review. Not sure if someone else in the thread has tried it. It's about 15 extra.
I think the express keys are laid out better than the 4. I just hate how the touch ring center button responds. However, the wheel is great. I use it when I need to web surf. You can also turn the HUD off if you don't like it.
If you like the OLEDs don't care about potential wireless swap in (which you have to buy the intuos4 bluetooth if you really want it) Go with an intuos 4.
I'm getting along better with my intuos5 though I'm still waiting for those driver updates so my computer can finally sleep when my tablet is plugged in the PC. That and the other bugs that has me so irritated.
-snip- (it's wauh-com dammit

)
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