If you like auto's you will love the Allison. Keep it cool and clean and you shouldn't have any issues. As nice as the Allison is they rob a lot of power from the 8.1 and that means even worse fuel milage. What are your plans for the truck? What do you plan to pull with it? I would not buy this truck if you expect lots of power (10K or more lbs. will work this truck pretty hard) or good fuel mileage.
With 150K I would look at the front end for excessive play in any of the ball joints, bushings and pitman/idler arms. Two of my friends had 8.1's (one Allison and the other manual) and they both had to have the t-case replaced but I'm not sure what failed and why
Other than that they seem to be a pretty decent reputation.
Remember upon purchase you will automatically become part of the "one burned out driving light club"