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Healthcare 2016, 4(4), 92;

Sharing the Load: Amish Healthcare Financing

Department of Sociology, Kutztown University of Pennsylvania, Kutztown, PA 19530, USA
Department of Sociology, McDaniel College, Westminster, MD 21157, USA
Author to whom correspondence should be addressed.
Academic Editor: Sampath Parthasarathy
Received: 29 September 2016 / Revised: 3 December 2016 / Accepted: 8 December 2016 / Published: 14 December 2016
View Full-Text   |   Download PDF [190 KB, uploaded 14 December 2016]


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. View Full-Text
Keywords: Amish; Obamacare; healthcare; insurance; exemptions; Amish Hospital Aid; alms; community Amish; Obamacare; healthcare; insurance; exemptions; Amish Hospital Aid; alms; community
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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Rohrer, K.; Dundes, L. Sharing the Load: Amish Healthcare Financing. Healthcare 2016, 4, 92.

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