Seriously. The state of TLDs is a mess. It’s like Google has their arm up ICANNs ass and is using them as a puppet. The huge amount of shitty vanity TLDs rolled out in the last few years is insane and most are being administered by asshats
Even though I agree that the TLD scene is getting way out of hand, I really don't agree the current state is worse than having just a couple of TLDs and ccTLDs, specially considering the massive problem that is domain squatting.
It's not like ccTLDs haven't been abused as vanity TLDs. If demand is already there, why not supply it adequately?
But now the user has to worry about fraud like “Medicare.com” and “Medicare.net” and “Medicare.usa” because ICANN just pops out domain names to anyone who asks for them.
I think it's safe to assume that medicare.meme won't do scammers much good.
On a more serious note, a TLD is just one of the many ways to clickjack. Even godaddy suggests weird combinations using respectable TLDs such as medicared.com, and even medicare.eu.