S.B.
I used to work for cemeteries and I can promise you that pre-planning is the best way to go.
There can be a big difference between "pre-need" and "at-need" expenses.
Now, that said, some people do not wish to pre-plan. My aunt was one of them. She had a heart transplant and refused to discuss planning any type of arrangements because she thought it would jinx her in some way.
She collapsed one night getting a drink of water and my poor uncle had to start from absolute scratch at the worst time in his life.
Everyone feels differently about these things. I, personally, want a say in what happens to me when I'm gone, where or how I'm layed to rest.
I have dealt with many terminally ill people and many of them feel a sense of comfort in making arrangements.
It's just my opinion, but I think pre-planning is best.