Lately the carpal tunnel and arthritis bother me too much too paper patch.
Uggh. Sorry to hear about that. Maybe you need to get a really big bore - that might make patching easier handling something over 1" diameter
All the more reason to really sing the praises of paper patching. The more people doing it the more tempting it will be for Lee, Lyman, RCBS, or Foster to make a patch rolling tool. Hmm, some sort of collet on a case trimmer that grabs the nose of the bullet; then rubber bearings that contac the bullet and roll. The paper would roll around between the bearings and the bullet (much the same way paper rolls around a typewriter carriage).
Load the strip of paper in, turn two times, twist at base, release collet, lock in the next bullet and go.