An Analysis of the Pros and Cons of a One-Year Waiting Period

The waiting period for both the Serious Illness Commune and the Anti-Cancer Commune is currently one year. The reason the waiting period was set at one year is a decision the Commune made on the basis of several years of experience: in the absence of upfront controls, a one-year waiting period makes all members more equal — everyone starts from the same line — and lowers the risk of adverse selection. In the long run it improves the Commune's sustainability. The drawback is that many people feel no short-term benefit is visible, which reduces their willingness to join.

To some extent this explains the Commune's slow growth. But on balance, given the current national conditions, the one-year waiting period should be maintained for now.