COBRA costs more than my rent, what did you do? (update)

I was offered COBRA and the monthly cost is more than I expected as an insurance claims processor. It has been weighing on me all week. 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 last year, and it settled down once I kept a simple log of every call and form.