COBRA quote is huge, any alternatives? after 12 years as an accountant

I was offered COBRA and the monthly cost is more than I expected as an accountant. 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 7 months ago, and it settled down once I kept a simple log of every call and form.