For reference:
the bearing is about $60.00 from a dealer.
the HUB is about 225.00 from a Dealer. (comes with bearing pressed already.
From Steve at Tousley ford, they are 165.00 shipped (HUB)
From Stazi, they are $50.00 until supplies run out. (complete hub)
You can replace a hub (since it will not require pressing a bearing in/out) in about 40 minutes or an hour.
To answer your question: If the bearing goes out and spins within the hub,. it can eat away at the hub itself, enlarging the inner diameter (ID) of the hub, making the new bearing not fit as tightly, causing it to go bad quickly.
Also, re-using the Axle nut afterwards can and WILL cause incredibly fast failure to the bearing and hub. It is a ONE TIME USE NUT, regardless of what "this or that" guy says or did.
Tighten the axle nut to 214 FOOT pounds of torque, as that will also cause premature failure.
Ray