My main gripe here is that as time has gone on, and I've racked up the RSI's, is that the brain-to-text latency has gone up notably.
This scares the shit out of me. I'm not in the older subset of programmers (<30 atm), and this has gotten to the point where the latency actually affects my workflow.
I have let my WPM drop a fair bit over time. I'm still relatively young yet, but I see no reason to go fast when I realize that most of the typing amounts to disposable bullshit. It's better to spend time thinking and developing thought patterns, and then just type a little bit to jog your mind and clarify. I allow myself to write some cheap code, but the point of that is to sketch, and the sketch should be light and quick, for the same reason that artists will say to favor long, confident strokes instead of chicken-scratch markings.