R134a from a cooling and reilability standpoint doesn't seem too bad. The problem is the PAG lubercant used with it. It is extremely hydroscopic and breaks down becomming corrosive if it azorbs moisture. Sometimes repairs entail replacing EVERYTHING, compressor, condensor, evaporator, hoses, and all associated piping! I'm sure this makes Detroit, parts dealers, and repair shops happy, because the expense of repairing a bad out-of-warrenty AC makes cars more disposable. A more "Green" way to go would be to make cars last longer, but that doesn't create more pay for automotive CEO's. They make money only if used cars are crushed.
In the old R12/minerial oil systems, moisture intrusion really only meant you needed to replace the dryer, pull a vacuum on the system and refill. If a system was abused to the point of dessicant breakdown, little more than a dryer, compressor, and system flush might be needed.