The Patient Organization (P.O.) is the heart of CSAM. It is a creative and participatory initiative, which began in January 1998 with thirty-seven families interested in addressing health care issues while also wanting to foster a sense of community. We chose the anthroposophical therapeutic approach and an annual membership structure in which families commit to paying a reasonable monthly fee. In return for this fee, the patient is entitled to all forms of treatment available from the practice. Services needed that are not offered by the practice are covered by other insurance or paid for privately. Many of the patients who go to the CSAM practice are members of the P.O., thus the practice can be run somewhat independent of conventional health insurance and health maintenance organizations. As a group, we determine which services we want and contract with CSAM on a monthly basis for these services. In this way we each contribute to the health of the community we are a part of and in turn the community supports each of us. The social aspect, whether it is gathering for a continuing education opportunity or to share a potluck meal, is a valuable support as well. This is a broader and more inclusive approach to wellness and medicine than is seen in many managed health care systems existing today. There is freedom and benefit for everyone involved, which is an essential element of Anthroposophy.

Rights and Obligations of Members

• To see a doctor or other appropriate health care provider as needed
• To ask for what you need and recognize that all in the community are taken into consideration
• To attend semi-monthly meetings and offer your skills in areas of expertise to support the organization
• To grow in understanding of health, the nature of illness, supportive health care and the organization

The medical care encompasses acute, chronic and preventive care. Nursing therapies, eurythmy, speech therapy and artistic therapies are offered as available.