As policymakers in Washington, D.C., debate overhauling health care, several evangelical Christian groups have found a way of getting around the high cost of health insurance. Instead of paying premiums, they simply agree to pay each other's medical bills.

The groups are not regulated because unlike insurance there's no guarantee an individual's bills will be paid. That's something members take on faith.

James Lansberry, the vice president of Samaritan Ministries, says the concept is simple. First there's a $170 annual fee to cover Samaritan's administrative costs. His nonprofit group then compiles members' health care bills and tells its 14,000 households where to send their monthly checks.

"The money doesn't get received at our central office — it goes directly from one family to another," Lansberry says. "So each month I send my monthly share of $285 directly to another family."

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