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Re:The Economics of a Commune in the Ozarks by mercutio2 on Tuesday October 09, 2018 @11:04AM (#18176493)
East Wind, like most members of the FEC [0], has a joint self-insurance pool for catastrophic healthcare costs. This limits administrative overhead.

There are a combination of factors that limit outlays for the community: As you note, the demographics skew young (in any given year, there is usually a sizable older cohort, but a lot of people move to Twin Oaks [1] as they get older).

Additionally, almost everyone is low-income, and thus people are eligible for subsidized routine health care through the state (although Missouri is pretty stingy).

Finally, mostly people just don’t choose to consume much healthcare.

  [0] http://thefec.org
  [1] http://twinoaks.org

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