After my wife retired early (against my advise as her job provided our health insurance, our agreement was that she would work until she was 65, so we'd both be eligible for Medicare), we ended up with insurance from the exchange. When we signed up we were under the impression that the plan would be as good as the insurance she had from her employer. It is nowhere close. We ended up with a shitty United Healthcare plan that has a much higher deductible, larger copays, and premiums that rival most mortgages.

Now it also appears that national level politicos (both parties) are going to undermine Medicare. So when we're finally eligible for that, it's likely to suck as well. At the rate it's going, unless you're really wealthy in the US, elderly healthcare will probably bankrupt you.

US healthcare causes FAR more bankruptcies than anywhere else in the rest of the developed world. ..All for profits and greed.