COBRA costs more than my rent, what did you do? - what worked for you?

I just got my COBRA paperwork and the deadline to decide is close. There are 9 people counting on me, so I am trying to be careful. 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.