Or in other words, can an intentional community successfully circumvent the medical insurance system? If so, how does the community then provide the various services that medical insurance typically pays for (check-ups, emergency care, medication, etc)? If not, what strategies can a community take to maintain insurance coverage for its members, especially if that community is concerned with maximizing its usage of alternatives to money? Is circumvention advisable in any case, or is it simply inadvisable?