Thanks for the info on the firmware Tufty.
I ended up just doing some windows API level stuff to hook input functions and modify the functionality of my tablet to suit my needs. I use the tablet more like a mouse, but I use my keyboard as the mouse buttons. When the tablet point is making contact with the surface my S D and F keys function and normal mouse keys, and if I hold my A button and move the pen it simulates a vertical and horizontal mouse wheel.
What I've found from this Intuos 5 is: It's polling at 133 hertz in spite of the box saying 200. If there's a way to switch it to 200, I don't know of it, and I fear doing so even if there is. They probably have it defaulting to 133 for a reason.
There is no perceptible lag between my motion of the pen and the cursor motion on the screen. Obviously there is 1000/133 ms at the very least, but that doesn't end up being enough for me to notice. I have all of the touchscreen features turned off (on the tablet and in the windows services). My understanding is this is important in order to avoid extra overhead which can cause input lag.
One thing that bugs the **** out of me is that in relative motion mode the cursor will move in 2 pixel increments. This is a quirk in the firmware, not a hardware limitation, as in absolute mode there is no such problem. You can sort of get around this by ticking your windows mouse sensitivity down from the standard 1:1 ratio 6/11 to whichever the 2:1 is, i think 4/11, but then you're moving pretty damn slow, even with the wacom speed maxed out.
Using the pen is both more intuitive and more ergonomic than a mouse. I'd highly recommend it to anyone who has pain in their mouse hand. The biggest advantage a mouse has over the pen, I've found, is the ability to use the attached buttons with virtually 0 effect on the position of the mouse. With the pen you are forced to use a finger that is also used to move the pen, and you always end up moving the cursor a slight amount unless you're firmly planted or using a high friction nib. Since I prefer low friction nibs (I actually put a piece of teflon over my tablet to have even less friction) the buttons on the pen itself are rarely if ever used.
For gaming I believe the tablet has the potential to supersede the mouse, but there are huge caveats. Mouselook games are not going to work well, even in relative motion mode which solves much of your problems, the larger issue is the loss of the mousebuttons. With your dominant fingers of your keyboard hand already occupied for your four motion keys, it makes this type of game unsuited as most would suspect. But for other games such as RTS, LoL style games (hate calling them MOBA), virtually any game where you're actually using a cursor, OSU! especially, the tablet has the potential to outperform mice. In absolute mode you have 0 worries about acceleration or mouse rotation and snap motion becomes far easier and faster than even a light mouse can offer.
TLDR: I really like my Intuos 5, and use it instead of a mouse now for everything except first person mouselooking games. If I get crazy enough to try to use footpedals for mousebuttons, however, I may even be able to do those as well.