WDH should be mandatory. No question about it. Suspension won't - and cannot - fix it. It can mask the problem, but all you're doing by lifting the rear (higher springs or air bags) is making the car sit more level. The actual axle loads are still all buggered by the weight behind the rear axle - and you won't be able to tell until you've either weighed your front and rear axles hitched and unhitched, or you have an emergency and the thing comes unstuck in a big way.
When you place 200Kg about a metre behind the rear axle, you've got a decent amount of weight with a decent lever trying to twist the front of the car up using the rear axle as a pivot point. Raising or lowering the pivot point doesn't change anything - the lever is still there, and still has the exact same effect of pushing the back down - which raises the front up.
Setting up the WDH the correct way is vital. Here's how I did mine.
1) Park the car and van on level ground, engage the brakes and unhitch.
2) Using a spirit level, make sure the chassis of the caravan is level (slightly nose down is preferred to slightly nose-up).
3) Measure the height of the ball socket and adjust the height of the WDH to suit.
4) While the WDH is loose, adjust the top plate so that it is level with the ground.
5) Bounce the car up and down to make sure it's settled nicely and measure the distance from the top of the wheel arch to the wheel hub (not the rubber, but the metal part of the wheel). Repeat this for all other wheels, writing the results down.
6) Hitch up the van again (without attaching the bars) and note the wheel arch heights again (give the car a little shake to settle the suspension first, again).
7) It's now time to crank the bars into position by attaching the chains. You'll have them set up correctly when the height of the front wheel arch settles about (within 2-3mm) the same amount as the back.
8) Once done, mark the links in the chains that you need to use and you're done.
The first caveat on WDH usage is that not all chassis can withstand the torsion induced by them, and some manufacturers will even give you warranty grief if you fit them. My own Navara has had no difficulty - the dealer was aware that I was going to use a WDH and recommended a change in tow hitch because of that (5 bolts per chassis rail rather than 3).
The second caveat with a WDH is going over steep driveways, causeways, wheel ruts or any significant twists between the tug and the van. The spring bars don't like it, and you certainly don't want to keep them awkwardly-tensioned for any length of time.