Yes, absolutely. DH is a Type 1 diabetic and my family health history is none too rosy. We recently decided to ask our employers to go to 32 hour work weeks, which will increase our time to ER 5-10 years, but give us more time now while also keeping health insurance. That might seem like an odd choice, but my dad died in his early 50's and I'm 45, so I have some extra anxiety about the shortness of life. As we're in the position to 'buy' an extra day off each week while keeping our insurance (and adding service credit to my pension), we decided it was the best option for right now.
I wish I had some brilliant ideas for how to solve this particular conundrum, that's for sure!