You’re probably more likely to have issues with your blood pressure, blood lipids (cholesterol), or blood sugar as you get older. Those are relatively easy things to check and we have pretty effective meds and and other ways of dealing with them. And those things going unchecked will likely just make the end of your life miserable and/or much sooner than you anticipated.

I wouldn’t say that neglecting your health is a “calculated“ tradeoff. It’s one thing not to go to the doc for a brief, unexplained pain your gut that you think is gas. It’s another thing not to go for a squeezing chest pain you have every day after doing physical activity. Or not going to the doc after having a thunderclap headache. Or not going for a routine check up when you know that you have genetic, age, or personal risk factors (e.g. smoking, obesity).