Philadelphia MediCash

A pilot program to fund Philadelphia's medical services without raising taxes.


As money is drained from America's schools, libraries, hospitals, municipal utilities, railways and pensions into self-destructive war, our taxes rise to pay for less.

One way to challenge this misuse of national wealth and power is to print our own medical services money, backed by our willingness to trade it within southeast Pennsylvania.

Philadelphia has the capability to pay for medical needs without relying entirely on scarce dollars. We can break the spiral of impoverishment with an assertion of community creativity.

During the past fifteen years, in Ithaca, New York, millions of dollars worth of Ithaca HOURS have been traded by thousands of area residents, including over 500 businesses (including Cayuga Medical Center, doctors, dentists, therapists, restaurants, movie theatres, bowling alleys, grocers, farmers, landlords, etc).

Philadelphia's City Hall can stimulate expansion of clinics, and the public itself can pay doctors directly, when the City agrees to accept a donation of $250,000 of Philadelphla MediCash from PhilaHealthia, Inc., which they'd provide for those purposes.

Local medical supplies vendors and employees could be pleased to accept MediCash as part pay, because the City would agree, contractually, to accept MediCash for specified part of property and/or income tax payment. For this reason too, most landlords and businesses would accept MediCash.

Once issued, MediCash can flow throughout the local economy, particularly to strengthen public and private health services. Medical centers, pharmacies, laboratories, doctors, healers, health food stores and health clubs, bicycle shops, organic farmers, etc. would agree to accept MediCash for specified percentages of fees. The list of participants would be published online.

When the program proves itself, PhilaHealthia Inc. and the City could agree to extend and expand it. State and municipal governments may not issue non-federal money (scrip) but may accept it for tax payments (e.g. NYS CLS UCC fig. 1-201) when issued by an external organization.

* $250,000 less is required from City/County taxpayers to support clinics.
* This $250,000 is added to circulation in the local economy, stimulating extra sales tax collection, new businesses and job creation. It becomes a fulcrum for broader development which builds a genuinely healthy economy.
* When a greater capacity to use local cash has been proven, MediCash grants to the City and other other agencies might grow to several million dollars per year.
* Later, $500,000 of local currency could be issued through nonprofit agencies upon the City's or County's promise to accept them for tax payment.
* This reduces the need to sell interest-bearing bonds.
* The City & County would also gain by added sales tax revenue, both from the extra retail activity generated by this cash, and the discretionary income retained by taxpayers.

* City of Philadelphia: A contract would be signed between Philadelphia and PhilaHealthia. Philadelphia would agree to accept MediCash for part of tax payments for at least five years.
* PhilaHealthia Board of Directors
* Hospitals, laboratories, doctors, healers
* Union members

PhilaHealthia, Inc would need $8,000 to pay printing costs (including anti-counterfeit devices), plus about $25,000 to employ someone part-time to promote and facilitate spending of MediCash, making connections among local businesses, landlords, workers and agencies for MediCash spending. City agrees to accept for specified percentage of taxes. MediCash is earned by accepting from government for goods or services, by performing health-related services for healers above, or by accepting them for rent and utilities from others who have earned them.

1. to City Hall for for clinics (do clinics charge?) and SEPTA. CH accepts for specified taxes, to maximum percent. CH contracts with banks to receive, bundle and account MediCash, as a public service.
2. to hospitals and clinics directly, for suppliers and staff.
3. via health-related nonprofit organizations for their staff, suppliers and volunteers, landlords
4. to healers for health services for PhilaHealthia members
5. as loans (interest-free) to organic farmers, bicycle shops, compost toilets, urban orchards, ecohousing, insulation
6. to home health aids and other health workers as supplement
7. via Time Dollars and Equal Dollars

For more information: [email protected]