I am so in love with these dogs, despite never meeting one! I think I just learned about them earlier this year, but I've read everything I can find many times over. I think I will probably end up with one some day.
From my reading and talking to a respected breeder, managing their diet and environment has a huge positive impact on their health issues. I think they can't tolerate a lot of the crap food on the market, but I would never feed that anyhow. She also said they can have flare-ups if they are in a home where there is a lot of conflict between dogs, not enough exercise, etc.
I would have to make sure I had money for plenty of vet care before getting one - even a healthy one needs regular testing to ensure they are staying that way. Early intervention can prevent problems from becoming severe. They need bloodwork twice a year, but I was used to doing it every 3-6 months with my CRF kitty over the past five years (we had to let her go a month shy of her 20th birthday. :-() So if you are used to being a vet office regular for checkups, it isn't a huge deal.
I am really interested in their long-term potential. I'd like to see them freezing sperm from the males and keeping it until they are able to see how their health is later in life. I don't know a lot about AI, but I would think that way, you could see that a certain male was able to grow old and live a healthy life and then use his genetic material from when he was in his prime for future litters.
It is true they built the breed back from only six dogs, but they were VERY careful in doing so. I am creating a pedigree for a potential litter, and the COIs five generations back are extremely impressive. Again, I'm not super informed on all of these matters, but after researching Standard Poodles, it amazes me to see such consistently low (single digit) numbers everywhere.
My main reason for wanting one is my love of hiking. I think they'd be perfect for that! I don't think the primitive/wild traits would be a big deal. I live with a cockatoo.