There are other differences with Biowheels. For one, they do not get clogged with debris the way any submerged media can, which can block off the food and oxygen supply to bacteria, killing them. Its design means that if any debris makes it to the wheel, within one rotation it is dumped. When properly maintained, jamming up should not be a problem. Any filter can stop working for no apparent reason. So if the canister stops running, all the bacteria in there are useless. In my experience this is even more likely than the Biowheel simply not turning. They also use atmospheric oxygen, not oxygen in the water, so they run more efficiently and leave the oxygen in the water for the fish (really they add oxygen to the water, they are great aerators). Does this all mean everyone needs to go out and get one, absolutely not. Other forms of biological filtration are do the job too. But if you do have one already, use it. In my experience they are anything but snake oil hype.
How much have you used them?