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Google’s .meme domain is here to serve your wackiest websites
(www.theverge.com)
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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.