There are still co-pays and premiums (if not also on Medicaid). The availability or quality can be an issue. I think the bigger factor is not the healthcare at

There are still co-pays and premiums (if not also on Medicaid). The availability or quality can be an issue. I think the bigger factor is not the healthcare at that point but the lack of healthy living up to that point. There's not much that can be done for some conditions like dementia. There are many conditions though where people ignored their weight, sugar, etc for decades and there's not a magic cure, or the damage is already done.