I put 325,000 miles on an "01 HO/six speed and 230,000 miles on an '06/48RE. Each had Jacobs brakes from day one. I had one vacuum pump failure on the '06. The vacuum pump was cheap and readily available from a Cummins dealer. I never carried a spare belt.
I think some folks put far to much credibility on PacBrake and BD advertising. No exhaust brake, not even a tailpipe welded shut, it going to produce any more exhaust back pressure than a blocked exhaust generates at lower rpm. I don't know if PB or BD brakes produce more back pressure at higher rpm, or not, have never used one.
Cummins and Dodge selected the Jacobs exhaust brake as a factory option offered on '06 and '07 Dodge Rams with 48RE automatics. Prior to that, at least from '01 forward, Dodge dealers sold Jacobs exhaust brakes across the MOPAR parts counter and Dodge dealers would install them behind the six speed manual.
I was comfortable with Dodge's choices. As far as I know, Dodge never selected PacBrake or BD as their supplier.