Seldom spent miles, maybe an occasional gift to one of the sisters-in-law to fly them out to see us. I was a pretty staunch accumulator. Then we had kids. Now we spend 200k miles per year minimum on trips to see family. 50% depletion of miles in past 2 years and not accumulating at nearly the rate I used to.
Once my UA account got close to 7 figures fat, like others, I also felt that my exposure (in event of airline bankruptcy) was too high and began consuming them. Right now miles are worth less than cash to me.