Freed from insurance: Health care sharing ministries and the moralization of health care.

Since the Affordable Care Act (ACA) was passed in 2010, health care freedom has become a kind of mega-narrative trumpeted by Republicans leaders who decry government overreach. I turn to faith-based, non-profit organizations called "health care sharing ministries"(HCSMs) to consider the work that this mega-narrative does in everyday health care lives. While HCSMs are not insurance, HCSMs share in the payment of medical bills and are written into the ACA as one religious exemption to the individual mandate.

Thrifting for More: Savings and Aspirations in Health Care Sharing Ministries after the Affordable Care Act.

The Affordable Care Act (ACA) of 2010 includes health care sharing ministries (HCSMs) on the list of religious exemptions to the individual mandate. HCSMs are non-profit, faith-based organizations that share in the cost of medical bills but are not actually insurance. Precisely because HCSMs are not beholden to any of the ACA's insurance reforms, they have the advantage of costing less.