Caution: A knowledgeable FReeper pointed out the other day that although the penalty in itself will not lead to liens or seizures, if you owe the IRS other monies and the IRS takes action against those funds that the total sum including the penalty likely will be involved in the action.
I know people who have qualified for public assistance JUST to get out of the Part D penalty.
If the IRS bankrupts someone over the penalty, and that person gets any form of public assistance thereafter, from the State, the penalty will go away.
Of course, at that point? They have forced you to “surrender” in many ways.