For me, I think the best is:
1 Leave the spare where it is.
2 Keep good tires on your truck.
3 If you need to use the spare, raise the TC with its jacks and pull the truck forward about a foot to clear the access hole in the bed.
4 While the TC is raised, change the tire.
5 Back under the TC the 1-foot.
6 Lower the TC and go camping.
I think this is what I will/would do. I have not needed access hole in the bed for the spare in over thirteen years.
I will admit, for my '04 Dodge, I made an adapter for the spare crank. From underneath, I can put the spare crank extension in place, it is about 2-inches out from the bumper. I can raise or lower the spare with a ratchet, crescent, or wrench. I could use a pipe wrench or vice grip pliers to raise or lower the spare without being outside the bumper. Why did I fabricate the adapter? Cause I could, and I thought it was a good idea. I did not need the spare for over thirteen years, so with any luck it was a waste of time.
Wayne