As others, I'll carry one or two spare tubes (often more, on things like a FNRttC when I'm TECing, so as to have tubes for 26", 700C, and different widths).
I've had tubes with a dozen repairs or more, and done properly, and without too much of a rush, they'll take as much pressure as a new tube, and certainly on 700x28 and bigger, the repair does not have a noticeable effect on the roundness / bumpiness of the tube.
I have used the Park temporary repairs in the past, and they are OK as a get you home measure, but they don't seem to last for ever. If nothing else, you can peel them back off with your hands, whereas a properly repaired vulcanised job is essentially merged with the body of the tube after a while, and pretty much bomb proof. I've only ever used them to keep the mass of kit down, so I've had a pack velcro'ed under my saddle.
I've very occasionally had "proper" repairs fail, but it's less than 1%, and normally comes down to the tube not being clean, or roughened up enough. The failure normally happens almost immediately on reinflation, or not at all.
With modern tyres, multiple repairs are luckily becoming a thing of the past, although the Continental Sport Contacts which I got with my Kaffenback have now had 4 punctures in less than 3000 miles, so I'm replacing them (or the rear anyway) with a Marathon Supreme. A puncture or two a month has generally, and thankfully, become a thing of the past.