Another fan of the Marine Elegance. Been almost 10 years now. No repairs.
The smart control uses astonishingly less flush water than the other heads I've had (which include a Lavac). This is not because of any new technology - it's because people overflush. The smart control takes care of the flush timing. Especially among guests, there's a tendency to flush more than needed - "to be sure". The control flushes the same amount per button push. And people rarely feel the need to push the button twice.
That's because another advantage of the ME is that the bowl is really well designed so the swirling action clears the bowl almost every time with one flush. With most marine toilets there's a bit of tissue (or worse) still stuck there after the flush so people flush again - and again - filling the tank. I've never had a SeaEra so I don't know if they clear the bowl as well as the ME. Presumably Peggy knows.
As others have mentioned, if you are going for minimum water usage you really need to use fresh water. Salt water will quickly grow crystals in the hose if you don't flush any urine all the way through.
Soon after the ME was introduced I was told by a Raritan employee at a boat show that they had installed ME's in the Raritan office bathrooms as a test. That's dedication!
The ME only came out about 10 years ago and it took a while to become known. Vacuflush has been around a long time and pretty much owned the premium head space for years. Having owned a ME, I can't imagine going with a Vacuflush today.
As to wire size. Here's a great calculator. The ME at 12v draws 18amps. In the manual Raritan says voltage drop should be kept to 3%. The "length" is one way from the battery to the head - not from the breaker. In most boats you'll need AWG 10 or AWG 8 wire
https://www.genuinedealz.com/pages/voltage-drop-calculator
BTW - the site - Genuindealz is a great place to buy marine wire. He'll even make you beautiful custom battery cables for a great price. Used him for years.