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The last vehicle that I had to replace a water pump on was our old and long gone 1987 Tempo.
Piece of mind is priceless but, if one gets to a point where they don't trust their vehicle to do it's job then it's time to replace the vehicle. Any failure these days will sideline a vehicle and cost hundreds if not thousands to fix. I'd probably replace the fuel pump just as quickly as I would the water pump if I was dooms day prepping my vehicle. Where does it stop? A new battery every 3 years because, or as Tom stated, new coils every time a plug is changed?
Not my place to question or comment how one spends their money but these trucks are built to last.
Haha. My SO got her Dodge van new in 1975. Around about 1990, the water pump started whining, but it wasn't leaking. We got a new water pump in anticipation of replacing it when it was needed. She carried that pump around (in the box) for almost 2 years before it started leaking, and we had the mechanic we were using at the time replace it during some other routine maintenance.