If you've got hereditary hemochromatosis you sure need to. Your body doesn't get rid of excess iron properly. You need to bleed it out.
That's a genetic disase that affects about 0.5% of Northern Europeans. It only kills people slowly and conveys resistance to certain infections, so it may have been much more common in the past, after epidemics killed most of the people with a normal iron metabolism, possibly explaining why bloodletting was such a popular thing.
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