After spending everything we had for medical bills---and we did have insurance--Our spenddown now is designed to keep us poor so we can get P.A. to pay for my wife's needed treatments each month. No Medicare for her. My Social Security Disability provides Medicare for me only now. Because of her ongoing illness, she never worked enough "quarters" to get on Medicare --even though disabled. It's a system that never allows you to get ahead and/or keep anything anyone might like to donate. It necessitates that you stay destitute to stay "insured?".   Purchasing insurance again would be an imposibility because of ALL the preexisting conditions.