The x-ray versions are gone (and with them any small chance of dangerous radiation exposure). And I'm told that they no longer show your naked body to agents, but rather a generic outline that labels potential objects of concern. So the things about them that I've felt had the potential for a direct negative impact on me personally are mostly in the past.
Because of that, the last time I flew, it struck me that opting out was purely a political protest, and that the only effect it was likely to have was to make things flow a little bit less smoothly for all the other poor folks standing in the long line behind me. I just didn't see the payoff anymore. So for the first time, I went through the blasted machine. They did a quick patdown anyway, but I guess that's par for the course.
I wish I knew a way to take an effective stand against this system. But I've ceased to believe that opting out is it.