Do you know you can press Ctrl and click+drag an interface item out unto the canvas? You could arrange a lot of the stuff you use frequently and negate the need to access the palettes. Save your interface changes with Ctrl+Shift+i.
Also, the ‘s’ key brings up a Draw size slider directly beneath the cursor.
Regarding Wacom tablets, I have an Intous 1 12x9. Very pleased with it. I first bough a Wacom PenPartner(now called Graphire) and upgraded a year later. 12x9 sometimes feels to large and other times it is perfect, for me, but most of the time I don’t notice the size. If I had to buy a new tablet, I guess I would go for the 6x8.
A couple of threads on Wacom tablets:
Which tablet?
Wacom Intuos2 or Graphire2 ?
Btw, if you were thinking of getting a Wacom Graphire then make sure that the drivers offer mouse button mapping. I heard the Graphires have a cut down version of the drivers, not sure if that is true.