title: Sharing the Load: Amish Healthcare Financing.
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.
authors.affiliation: Department of Sociology, Kutztown University of Pennsylvania, Kutztown, PA 19530, USA. krohr501@live.kutztown.edu.
authors.forename: Kristyn
authors.initials: K
authors.lastname: Rohrer
authors.affiliation: Department of Sociology, McDaniel College, Westminster, MD 21157, USA. ldundes@mcdaniel.edu.
authors.forename: Lauren
authors.initials: L
authors.lastname: Dundes
keywords: Amish; Amish Hospital Aid; Obamacare; alms; community; exemptions; healthcare; insurance