Preparing for the inevitable

This is one of the title in the Today paper on Khaw Boon Wan's crusade to clean up the messy health care system. He talked about the problems of the ageing and dying and about the insurance scheme. He is again working very hard. But I am terribly worried when he said this in response to the query on the small payout of insurance schemes on hospitalisation fee. 'I hope of offer more diverse insurance plans...Many have told us that for a payout of $300 per month for 60 months, they would rather self insure. Clearly they prefer higher payouts and I presume they are willing to pay higher premiums.' Who are they? Who are these rich they? Please don't presume too much. Is preparing for the inevitable also means higher premium is a sure thing to come, and mandatory?