A friend of mine just retired, he worked 40 plus years for the government, at 65 he was direct by Social security, and was required to sign up for medical part A and part B, 6 months later they went to the doctors for routine blood work, and other screening, at that time he was told he has no medical insurance, so he contact Social a security, they said he has to pay a fee, and they were not sure when it will take effect. They told me while he was still working if he worked 25 years of service he would have medical for the rest of his life. If you come into this country illegally medical free.