Look at the performance of universa investments.
These guys are paying premium for 12 years straight...then one day they boast a 4000% return just to hibernate again.
If they would not manage AUM, nobody made any money. Betting on tail risk is +EV but it scales horribly. If you have 100k and you lose 10% each year in premiums for 12 years straight and then 40x your money, you would have 10x'ed your initial investment...but can you bear losing 12 years straight without doubting yourself that what you doing is correct? Plus the result is not even adjusted for inflation...
And how do you make sure that you always, always, always follow your strategy. I mean, what would you do if at the exact moment you are ought to cash in you are in the hospital and not invested?
It's like betting on a +EV lottery. Yes, it's +EV on paper but the probability of winning is so small and the frequency so low that you need to live like 1000 years to win this game.
And in the long run we're all dead.