Actually I find it kinda useful. One of our kids has issues - a harmless, pleasant, even intelligent kid, but just missing some piece that would enable him to handle independent real-world life. Odds are very great that he won't have any major medical issues before 26, but it's nice to have it as an emergency fall-back. I don't mind springing for the extra, which isn't all that much under the fairly-basic insurance I have.