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The Amish have few written explanations why certain things are regulated by the Ordnung. Non-Amish are not allowed to attend their council meetings, and most Amish are hesitant to discuss the details with outsiders, therefore the precise reasons are difficult to explain. They formulate their rules with two interconnected goals in mind.
Two books have been written about Amish medical issues including their birthing practices: Dr. Frau: A Woman Doctor among the Amish by Grace Kaiser and House calls and hitching posts: stories from Dr. Elton Lehman's career among the Amish by Elton Lehman. Lehman is known for his work in founding a freestanding Amish birthing center.
Amish make decisions about health, education, and relationships based on their Biblical interpretation. Amish life has influenced some things in popular culture. As the Amish are divided into the Old Order Amish, New Order Amish, and Beachy Amish, the way of life of families depends on the rule of the church community to which they belong.
Interview data from 11 Amish adults in Lancaster County depict how this aid program supplements traditional congregational alms coverage of medical expenses. The interview data delineate the structure of the program, its operation, and how it encourages cost containment and community interdependence.
Hostetler's scholarship and publications included at least twenty articles in church periodicals, nearly that number in The Mennonite Quarterly Review and the Mennonite Historical Bulletin as well as some twenty additional articles in other scholarly journals including the Journal of the Royal Anthropological Institute and the American Journal of Medical Genetics.
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The Amish are conscious of the advantages of exogamy. A common bloodline in one community will often be absent in another, and genetic disorders can be avoided by choosing spouses from unrelated communities. For example, the founding families of the Lancaster County Amish are unrelated to the founders of the Perth County, Ontario, Amish community.