One week into my one month free trial; time for an assessment.
wallet4bitcoin is helpful and quick to respond. He wasn't sure if the service worked with PIA VPN when I asked but offered to sign up for PIA in order to find out. He also offers a cheap VPN service if you require it. (I didn't need it because Private Internet Access works well).
The Directtvnow service works well and picture quality is generally awesome. I have seen the image blur periodically but instances of this are quite rare, short-lived and usually occur when first starting up the service. I've been using it through Internet Explorer 11 with the Silverlight plug-in - haven't tested it with Chrome.
As well as the live TV, there is a good selection of movies and archived shows. Searches will turn up movies, archived shows and even upcoming live events. Pretty cool.