How does Debian handle CPAN? Must you rely on apt-get for your Perl modules as well?
The great thing about debian packages is that they not only manage all your perl dependencies for you, but they also manage operating system dependencies too. Gems can't do that.
The Perl Foundation actually holds up debian's packaging work of CPAN modules as the model for other distributions. (See http://www.perlfoundation.org/perl5/index.cgi?hints_for_dist...)