First off, the plastic sleeve that you mention costing $4.95 is for a repacement. You don't have to buy it extra, one comes with the slide chart. Plus you can buy one at a time, not in packs of 5 if you don't need that many. Measuring with disposable tapes is just one option. You can use any measuring device (e.g., tape measure, etc), so you don't have to actually use the disposable tapes if you prefer not too (Broselow is just based on measurements except you have to use it to measure with). PEDI Slide Chart also has a body type category that allows for the CDC recommended body type categorization. You don't have to clean the slide chart and it never comes into contact with the patient. The information is much easier to find, no rolling out the brosleow everytime you need something. It is pocket sized & very durable. The color coding is the same so that is not an issue. I guess we will agree to disagree on this. I'm not saying the broselow isn't useful, just that in my humble opinion, the PEDI Slide Chart is easier and more effective.