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Yes, usually you will need some kind of vapor barrier on the exterior walls when the framing is attached to concrete and masonry surfaces.

You do not always need to remove old insulation before adding new. If the existing insulation is in good condition—not wet, physically damaged, moldy, or infested with pests—you can add new insulation directly on top of it for a compounding effect. You can also mix different types, such as adding blown-in insulation around existing fiberglass batts.

However, removal is recommended if the old insulation is compromised by water damage or pests. You should also remove it if you plan to install a different type of insulation, like switching from roll or batt insulation to spray foam. If the existing insulation is very old or damaged, you will likely get more benefit from removing it and starting fresh.

While fiberglass is dangerous to work with, it’s a perfectly safe material once it’s installed. If you’re tackling the installation yourself, make sure you take the proper safety precautions and wear the right gear to avoid skin and eye irritation and lung complications. Working with a professional insulation company can mitigate these risks.

R-30 insulation is better for higher thermal resistance, but whether it’s "better" depends on the application. R-30 is much thicker and suited for areas like attics or floors in cold climates, where more insulation is required. R-13, on the other hand, is thinner and works well for 2x4 walls or milder climates where less insulation is sufficient. Choosing between R-13 and R-30 depends on the area being insulated and the climate. For example, R-30 provides more insulation but may not fit everywhere in your home.