If your spare tire has the same wheel as the other 4 tires (steel vs. alloy), I would consider it only if you make it a practice of rotating the spare into the mix. If its not the same wheel, I would NOT buy the spare. I have a Tahoe and run Bridgestone Blizzak snow tires year round. My spare is the OEM tire (which did NOT match the OEM white letter tires I ordered the truck new with. My truck is very low usage though, so the snow tires have kept their treads intact. I really like the ride of the snows. I keep them at 40+ psi and watch for center wear out.
So, I live with out a spare for long range use. If the spare doesn't match the rpm (revs per mile) of the other tires, you introduce possibilities of premature 4wd, ABS, and differential wear because the tires have different rolling radii.
I keep a 12v air pump in the truck and make use of the real time 4 tire pressure readings to watch what's going on. Nails are my only concern. I tend NOT to run over ladders, broken bottles, steel beams, crash parts and other hazards in the road when I drive. I tend to not wander onto the shoulder, either. (That means I don't drive impaired or text and twitter when traveling).
BTW, I run Blizzaks on my Vibe and CTS, too. In those cases, I have them on their own sepeate wheels and TPMS units. You can then reset the TPMS yourself after changing over the tires/wheels. When winter arrives, I can swap the summer tires to winters at a whim.