Healthcare Without Insurance : Self-Insurance, Medical Tourism, Healthcare Sharing, Alternative Care Models and Practical Financial Survival Strategies
Overview
Millions of Americans live without health insurance - some by choice. But some are self-employed. Some work for small businesses that offer no benefits. Some earn too much for assistance but not enough to comfortably afford premiums. Others carry insurance cards yet remain effectively uninsured because of high deductibles, limited networks, and rising out-of-pocket costs. This is a practical guide written by an insurance agent for people who are uninsured, underinsured, self-employed, retired early, between jobs, or simply trying to understand alternatives to traditional health insurance. From little-known financial products to creative family business solutions, this book draws from thousands of years of insurance history to offer a pragmatic and practical guide to surviving - and understanding - the challenges of our modern healthcare system when traditional insurance is unavailable, unaffordable ...or simply insufficient. Table of Contents: The History of Insurance and Uninsurance
Before Health Insurance was Invented: the First Public Healthcare Systems
Ancient Egypt
Ancient Europe
Global Development
The Pre-Modern Healthcare Systems
Development of Mechanized and Industrial Healthcare
The American System: Integrated Insurance and Health Care Organizations
Modern Healthcare
The HMO
The PPO
The EPO
Medicare and Medicaid
The HSA
The Affordable Care Act Reasons to Go Without Insurance
The Uninsured Are Not What You Think
Common Stereotypes About the Uninsured
Why So Many Uninsured People Are Employed
Uninsured by Choice vs. Uninsured by Circumstance
Another Kind of Unisurance: Under-insurance
Rising Premiums and the Changing Subsidy Landscape
A Simple Calculation: When Insurance Costs More Than the Expected Benefit
Christian Health Sharing Ministries
Direct Pay Medicine
Concierge Medicine
Direct Primary Care
Limitations of Direct-Pay Medicine
Self Insurance
Becoming Your Own Insurance Company
The Default Option
How Self-Insurance Works
The Growing Appeal of Self-Insurance
The Huge Problem of Catastrophic Risk
Limited Self-Insurance vs. Total Self-Insurance
Who Can Actually Successfully Self-Insure?
The Insurance Company's Secret
How the Uninsured and Underinsured Pay
Surviving Medical Bills Without Insurance
Credit Cards and Financing
Negotiating Medical Bills
Cash-Pay Pricing
Prompt-Pay Discounts
Charity Care
Emergency Rooms and Uncompensated Care
Financial Assistance Programs and Coupons
Hospital Negotiations
Bankruptcy: The Last Financial Safety Net
The Uninsured Healthcare Ecosystem Medical Tourism
The First Step: Don't Leave Home - Ordering (Prescriptions) In
Traveling to Medical Care: the "Worst Vacation Ever"
See America First: Domestic Medical Tourism
Travel the World: International Medical Tourism
Popular Medical Tourism Destinations
Mexico
Costa Rica
India
Thailand
Medical Refugees: Moving for Healthcare
The Globalization of Healthcare Solutions: Practical Products and Plans
Products for the Underinsured
Indemnity Plans and Fixed Benefit Coverage
Hospital Indemnity Insurance
Accident Insurance
Critical Illness Insurance
Gap Coverage Plans
Life Insurance with Living Benefits
How These Products Help Uninsured and Underinsured Families Small Business Solutions
Association Plans
Group Coverage
Level-Funded Plans
Employer Reimbursement Arrangements
ICHRAs and QSEHRAs The Family Business As a Healthcare Solution
The Family Business
Additional Tax Benefits of the Family Business
Implications of Family Insurance Plans
Conclusion: Who Should Bear the Cost of Healthcare?
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Details
- ISBN-13: 9798180990112
- ISBN-10: 9798180990112
- Publisher: Independently Published
- Publish Date: June 2026
- Dimensions: 9 x 6 x 0.18 inches
- Shipping Weight: 0.28 pounds
- Page Count: 86
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