Health sharing arrangements have existed for over 40 years and the majority are religious-based organizations requiring a statement of faith.
"The concept's been around, I would say for over 40 plus years, but it has always been very popular with a lot of religious communities. So, I know you mentioned that a little bit earlier. Most other health shares are religious based. So, a lot of them will have to take like an oath of Christianity, for example" (said at 0:11:44)
Health care sharing ministries (HCSMs) trace their modern origins to the early 1980s (e.g., Christian Healthcare Ministries/Christian Brotherhood Newsletter, founded in 1981), operating for over 40 years. Published policy and socio-legal analyses confirm that these arrangements are predominantly faith-based non-profit organizations where members share common religious beliefs and are generally required to adhere to specific moral and religious tenets, such as a Christian statement of faith or church attendance.
- supports: Thrifting for More: Savings and Aspirations in Health Care Sharing Ministries after the Af… (Medical Anthropology Quarterly 2019)
"HCSMs are non-profit, faith-based organizations that share in the cost of medical bills but are not actually insurance." (abstract, passage verified)
openalexfull study (doi) - supports: Health Care Sharing Ministries: What Are the Risks to Consumers and Insurance Markets? (PubMed 2021)
"Health care sharing ministries (HCSMs) are a form of health coverage in which members--who typically share a religious belief--make monthly payments to cover expenses of other members." (abstract, passage verified)
openalexfull study (doi) - supports: Religion facilitates cooperation in health care sharing ministries (Religion Brain & Behavior 2025)
"In the United States, risk-pooling organizations known as health care sharing ministries bring people who share common faiths and ethical principles together and agree to pay each other's medical bills." (abstract, passage verified)
openalexfull study (doi)