And don’t you go thinking that being in literal hospice or palliative care is an excuse, or that a note from your doctor counts as “proof” that would automatically allow an exemption from the work requirements. The rule does exempt those with “serious or complex medical conditions,” but does not state what those conditions might be. “You’re going to have 50 states doing 50 different things, and we’re all going to have to create a whole new bureaucracy. …You are talking about a lot more paperwork, more evaluations, more doctor visits, and a lot more work for doctors themselves.” Fully two-thirds (66.5 percent) of bankruptcies in the United States are caused by medical bills.