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Along these lines, the mantra is - "If you can't afford the loss, get insurance... otherwise don't bother with it". I insure the liability and loss of my car and home, and my health. Everything else I self-insure. This has kept a lot of money in my pocket over the years.
JavaMan put good thought behind his decision... "I can't afford the loss".
Maybe some people can't afford the loss because they keep blowing their money on extended warrantys?

Seriously though, I believe it goes with a personality type. If you lose sleep worrying about maybe having to shell out $$ to repair your car if it breaks down, then an extended warranty is probably worth it.