I asked my water heater technician (we had a problem a few days ago with our propane water heater) if he would recommend one and he did not. He felt they were still very "new" and all of the kinks have not been worked out of them yet.
We live in southwestern Ontario and the weathers are cold - he has heard of some freezing in the winter if the wind comes the wrong way into the vent.
And from what you pay extra for them, you will likely not save that much in energy costs.
Personally - I will go for a propane one again.