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Health Care Financing Practices Among U.S. Amish
Evan J Beck1, Kevin E Kucharski2, Kiri E Sunde3
1University of Michigan Medical School, Ann Arbor, MI, USA. beckev@med.umich.edu.
Journal of Community Health
|December 20, 2024
Summary
Amish communities often use mutual aid for healthcare, but cost concerns lead some to avoid care. Understanding these unique financing methods is crucial for providers.
Area of Science:
- Sociology of Health
- Public Health Policy
- Healthcare Economics
Background:
- The Amish, a growing ethnoreligious group, traditionally use community-based mutual aid for healthcare financing.
- Limited understanding exists regarding the cost, structure, and effectiveness of these Amish mutual aid programs.
Purpose of the Study:
- To describe the characteristics and financial mechanisms of Amish mutual aid healthcare organizations.
- To assess the perceived efficacy and challenges of these programs, including cost-related barriers to care.
Main Methods:
- A survey of 1006 Amish households across 12 states was conducted using a 31-question instrument.
- Statistical analysis was performed on the 155 returned surveys (15.4% response rate).
Main Results:
- 81% of respondents participated in mutual aid organizations, with annual healthcare spending varying from $500 to $18,000.
- Over 90% trusted community support for healthcare costs, yet 39% sometimes avoided care due to expense.
- Significant regional differences in cost avoidance and affordability perceptions were noted among Amish populations.
Conclusions:
- Amish mutual aid for healthcare is prevalent, utilizing diverse financing models like subscriptions and donations.
- The success of these organizations is influenced by population distribution and health system integration.
- Healthcare providers need to understand Amish financial practices for effective patient billing and care coordination.
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