Getting it on purpose early while decent levels of care are still available.
Most elites do not have to worry about health care. They and their peers contract with another hundred or so of their peers basically buy the practice of a good doctor. Their doctors call it con·cierge medicine.
Then, they donate big money to their local hospitals and even have wings/suites named after them or their parents
Next, they have private fund raisers to raise money for those hospitals.