A coil is a wear item. Now changing them you might not notice a huge mpg difference or any at all. But they do get weaker over time and at 200k I would change out the coils if it were my truck. One its peace of mind that I'm not going to have a miss fire come out of no where. Two nothing gets 200k on it without wearing out in some form.
215,000 on my truck (Dodge) had a misfire on cylinder one and it was due to the ignition coil. I agree, peace of mind, due to the mileage I’m just going to replace the rest of them.