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Yes, basement insulation needs a vapor barrier due to its susceptibility to moisture seeping in from the outside of the house. You should install a moisture barrier before you install insulation or purchase insulation that comes prebuilt with a moisture barrier to avoid water damage in your insulation and costly mold and water remediation expenses. 

Yes, crawl space insulation is worth it if installed correctly. Installing insulation in your crawl space will improve the air quality, help stabilize your home's temperature, lower your energy bills, and prevent pests from entering your home. Though you’ll pay more to install insulation initially, the savings you get from installing insulation can help offset those initial costs over time.

Natural fiber batts and spray foam insulation both work great for soundproofing. Newer materials, such as hemp batts, are more expensive but more effective for insulation and sound blocking. They are also more sustainable. There is also a professional system called Blow-In Blanket Insulation (BIBS) that is soundproof and moisture-resistant. However, BIBS must be installed professionally and can be a costly investment.

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.