> I think most of your points are fair ones. I also feel that it's rather cynical to drop out of the "rat race" by relying on the participation of lots of other people to pay for your Medicaid expense and so on. However, on average, there are just so few people doing this type of thing that I don't think we have to worry about free riders damaging the system.

It's one of those cases where the "freeloading" is more miserable than just working, which is why abuse isn't rampant.