Ron, the problem isn't just when you die or when the insurrance runs out. It's when medical servces are used at all.
For an ysingle case, it's very rare that the amount paid in by a person is equal to the amount paid out on behalf of that person. Rather, 1 of 2 things happens... either (1) you pay a lot and never use the service (what you hope for b/c it mean you're in good health), or (2) you get a "good deal" by needing a big payout due to some problem. IMO i'd rather be in case #1.
When you land in teh hospital for 3 days, go through the ER, get X-rays, MRIs, all the good quality care we expect to have theese days - it's real pricy. Actual bill could easily be $50k. Now, how much have you paid in? Well lets say $500/mo for 5 years. That's $30k. And dosn't include any otehr expenses incurred/coovered in teh last 5 years. So, where does teh rest come from? The other folks covered by thw same insurer.
At teh end of teh day, the ins co. has to zero their budget. Actually they have to make a profit to tay in business, right? So that means that all the payouts, totaled across all clients, must be LESS than all the pay-ins. When people need payouts, whether it is 1 person of the 10,000 covered, or 100 of them... all the premiums have to go up. This is where actuaries do their job, estimating the costs vs income etc etc.
So end results is, when your happy ass lands itelf in the hopital, I get to pay for it. Now since I'm caring guy, I understand if it's due to cancer, or some random accident. But if it's 'cause you weren't wearing a seat belt - that gets me pissy, 'cause that could be avoided very easily. I don't want to pay for your stubbornness.