COBRA costs more than my rent, what did you do? - any advice?

I just got my COBRA paperwork and the deadline to decide is close. I do not usually post, so bear with me. My spouse has a chronic condition, so dropping coverage feels risky. How did you decide?

Thanks for writing this out. I went through something close to it 5 months ago, and it got easier once I kept a simple log of every call and form.