Isn't this just insurance?

Medicare takes care of the very very expensive end of life care.

but like, we all chip in, Some of us get very sick or hurt and there's no way to know up front who it might be. So, we all pay a little and that 1% is taken care of. Because that 1% might be me.

This is how it works. We could save money by sacrificing that 1%, but that's a pretty nauseating idea.