Excuse me if i'm being stupid here, but if we are CNC machining cam followers in the future, couldn't this be the best opportunity to make some changes.
For example i was surprised to learn the new AN ones were slightly heavier than stock - you could easily machine a bigger pocket in the centre (like Gus Kuhn and Paul Dunstall were doing back in the day) and have a follower that is significantly lighter than the stock one.
You could also use this as a chance to drill holes in the bottom of the follower so that significantly more oil would be introduced into the mix - surely significantly helping with the wear issue.
I know radiused followers and roller followers are out of the running, as you wouldn't be able to use the thousands of cams that are out there, but surely there are some other, more sympathetic mods that could be made which would be advantageous?
We've got some clever engineering minds here, with hundreds of years of experience - and that's just the Jims!