Looking at the title of this article again, it seems a little strange. Surely it goes without saying that having a company insure your health is a good thing? How can it not be good? Surely people who are insured have better health and live longer? One of the more interesting things about the so-called scientific method is that everyone knows how it is supposed to work. You have to start with a hypothesis. In this case, it would be: people with health plans enjoy better health. You then devise an experiment involving a statistically significant number of people. One group, drawn randomly from the population have health plans. The other group (the control group) do not have health plans. Researchers then monitor their health for, say, ten years. Data is collected and analyzed. Results are published in a peer reviewed journal. Human knowledge is increased. Except, the US has been running this experiment for decades. Millions of people across the age range and with differing levels of health are uninsured. Millions more pay for private coverage. The remainder have plans provided by their employers. The data over the years shows that uninsured people have a lower life expectancy. In fact, the poor on average die seven years earlier than the rich. By a coincidence, many of those without insurance are poor. Now that is bad news for this research. There are many factors contributing to death. They are directly related to the social class and lifestyles of the individuals involved. In this, lack of access to medical care is not a major contributing factor. Put another way: there has never been any research to answer the question posed in the title to this article.

We need to consider two contradictory statements: when they fall sick, the poor go to an emergency room and, if they are lucky, receive treatment that keeps them alive; when they are insured, the rich receive care that gives them better health. Except the international statistics show the US has higher mortality rates than most of the other developed countries. To help you understand, we need a comparison with Europe where there is a completely socialized healthcare service and better life expectancy. Both at a European and individual state level, there are panels of experts who decide what treatments and which drugs represent good value for money. States will only pay for treatment proven effective and safe, and will not pay drug companies the retail price they claim. Instead, the states will only pay for approved drugs at prices agreed in negotiations. In the US, insurance companies happily pay for a battery of medical tests and procedures even though there is no evidence any of this work is effective. This adds to the irony. Sometimes the rich die young even though they have received multiple treatments. This is because their expensive treatments are ineffective.

So long as the healthcare service industry remains profit driven, doctors have a direct financial incentive to perform endless tests and multiple procedures to justify big bills. There is no national body to approve treatments and then monitor their safety and effectiveness. Health insurance companies could challenge the medical profession to justify what they do and the prices they charge. But, for the most part, health insurance companies pay up without question. What is clear that until and until there are controls over medical costs, the premiums on individual health insurance plans will continue to rise. Worse, there is no evidence to show that those who do pay these high premiums live any longer than the uninsured.

As you get older, the mortgage is paid off and the kids have grown up and left the nest, there’s a temptation to switch off. You feel you have done all the heavy lifting. The pension will be coming soon when you retire… What’s wrong with this picture? Well, the majority of people were trading in property and, when the bubble burst, they are looking at negative housing equity and the threat of foreclosure. Even those who stayed in their own homes over the years, often borrowed heavily against them. With the recession, all those investments in the retirement fund have lost their shine. Unemployment is a more real threat to middle and upper class families. Children seem to be staying in the family home for longer. And all this at a time when life expectancy is increasing. Ten years ago, people might have dropped their term life insurance policies and found themselves with more disposable income. Now the decision is more difficult.

With the credit crunch, the pressure is on to keep paying the mortgage, reduce the outstanding household debts and put food on the table. Those of you with permanent or cash-value life insurance policies have a slightly easier path to follow. Premiums will be fixed but, if you stop paying, the policies may remain valid. The decisions are to:

• keep paying, which builds up the investment value and protects the family by maintaining the death benefit;
• stop paying and leave the cash value untouched;
• withdraw or borrow some of the cash value; or
• cancel the policy which usually involves a big tax bill.

If a term life insurance policy is falling due for renewal, here’s how the choice looks: if you renew, the premiums will be higher because, suddenly, you’re older; but, if you let the policy expire, your family could be hit hard if you die unexpectedly. Many of you may have bought term life cover when you were younger. Perhaps you thought you would convert to permanent policies or simply drop the cover when your children had grown up. Now that retirement funds are shrinking, it’s time to take another look at term insurance.

Allowing for inflation, the premiums have actually been falling over the last ten years as life expectancy has been improving. Go back fifty years and only a small percentage of people lived beyond seventy. Now, many people live into their eighties and beyond. This has prompted competition among companies who offer cheap life insurance to attract business from older people. As long as you are physically fit, you are likely to find the rates little changed from the ten, fifteen or twenty year term policy that is due to expire. Naturally, there will be a health exam to ensure you will live a reasonable number of years before a claim arises, but the option to continue a term policy or to convert to a permanent policy are better than you might imagine. This is a good time to start talking to the life insurance companies to see what your options are.