For one thing I have the luxury of avoiding it. My pension allows me to pay for health insurance through my former employer if/when I need to do that. In the meantime, I participate in Mrs. Charm’s company policy which hasn’t yet been quashed by Obamacare. Then there’s always the VA, despite its sorry reputation.
Even the VA looks pretty good compared to Medicare. Back when I was a medical writer I learned that many doctors refuse to take Medicare. Primarily because it cheats them, putting their payments off even longer than some private insurance companies do. Then asserting that their bills are too high and undercutting even their expenses, never mind any hint of profit, which any business has to have to stay in business.
Bureaucrats don’t understand profit because all they need to do to get their money is to lobby their favorite pols to raise taxes. But Medicare has an even sorrier reputation when it comes to patients, which is the main reason I avoid them. They put off a sick person’s treatments with one bureaucratic delay after another. Long enough for many of them to die waiting. If, that is, they have no political muscle, the one thing you always have to have in dealing with the government.
You know, that thing our mendacious president and his party say we all do together, i.e. screw everyone who has no pull.