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. 2016 Dec 14;4(4):92.
doi: 10.3390/healthcare4040092.

Sharing the Load: Amish Healthcare Financing

Kristyn Rohrer  1 , Lauren Dundes  2
Affiliations

Sharing the Load: Amish Healthcare Financing

Kristyn Rohrer et al. Healthcare (Basel). .

Abstract

When settling healthcare bills, the Old Order Amish of Lancaster County, Pennsylvania rely on an ethos of mutual aid, independent of the government. Consonant with this philosophy, many Amish do not participate in or receive benefits from Social Security or Medicare. They are also exempted from the Affordable Care Act of 2010. This study expands the limited documentation of Amish Hospital Aid, an Amish health insurance program that covers major medical costs. Interview data from 11 Amish adults in Lancaster County depict how this aid program supplements traditional congregational alms coverage of medical expenses. The interview data delineate the structure of the program, its operation, and how it encourages cost containment and community interdependence. The manner in which the Amish collaborate to pay for medical expenses provides a thought-provoking paradigm for managing health care costs.

Keywords: Amish; Amish Hospital Aid; Obamacare; alms; community; exemptions; healthcare; insurance.

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Conflict of interest statement

The authors declare no conflict of interest.

References

    1. Social Security Administration. [(accessed on 18 September 2016)]; Available online: https://faq.ssa.gov/link/portal/34011/34019/Article/3821/Are-members-of-....
    1. Kraybill D.B., Johnson-Weiner K.M., Nolt S.M. The Amish. Johns Hopkins University Press; Baltimore, MD, USA: 2013.
    1. The Young Center. Amish Studies Young Center for Anabaptist and Pietist Studies at Elizabethtown College. [(accessed on 29 November 2016)]. Available online: http://groups.etown.edu/amishstudies/
    1. Hurst C.E., McConnell D.L. An Amish Paradox: Diversity and Change in the World’s Largest Amish Community. Johns Hopkins University Press; Baltimore, MD, USA: 2010.
    1. Palmer C.V. The health beliefs and practices of an Old Order Amish family. J. Am. Acad. Nurse Pract. 1992;4:117–122. - PubMed

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