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"...simply take their penalty and go outside of insurance for care."

How would one do this?

One simple way, barter.

Say I'm fed up with all the medical practice of a "big city". Retire and move to the mountains of Montana with the dreams of hiking, trout fishing, and generally being left alone. Some local comes to me with a problem and an offer of 100 pounds deer meat and a case of Moose Drool* for the winter.


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