is refurbished a bad idea when buying a video card?

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i did some refurbishing a while back for Furuno. Sometimes gettin a refurbished part is good, long as the item has some date to it. You take a card that is a few months old..and you blow a cap on it,,sometimes it is replaced with a higher quality part. And usually the newer the component, the better it is,, usually
 
so will the video card i showed work or would this be beterhttp://www.newegg.com/Product/Product.asp?item=N82E16814102538R

o and 2 other questions does the jump from 128 to 256 give a huge performance increase?
and are these worth it over say a 6800 or a card that only has 12 pixel pipes?
 
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