Hey, does anyone have the deeds to Planet Earth? I thought not.....

You can't be me, I'm taken

If one were to set up a mutual as a "Guarantee Society" on a partnership basis (which is what Muslims do on a massive basis incidentally, because conventional insurance is impermissible or "haram" - they call mutual insurance "Takaful") then it is a simple matter to work with a managing/operating partner.

The shipping industry has long had what is called "P&I Clubs" insuring hulls mutually in this way with managing agents such as Thomas Miller.

The innovation I would add to the above is an  LLP/LLC "Capital Partnership" enterprise model, of course. Any necessary Capital will be obtained from investors in the future cash flow.

The predatory outcome is that the premiums a mutualised "Not for Loss" operation charges can always undercut those charged by the toxic "for profit" variety.

It's called the "Cooperative Advantage".

Where it gets interesting in the medical area is the "partnerising" of hospitals run "For Profit" to create a partnership between the community of people using the service, and the community of people providing it.

Basically the deal is of a "Community Buy Out", funded by selling future revenues to local investors.

The deal for the staff is this.

"You've got $y to play with this year. We want this (agreed) level of care. You get to keep x% of any savings you make in administration, innovative treatments, preventative measures, and so on.

And its up to you how you organise yourselves and share it out.

If you see new treatments, or need capital expenditure on new kit, lets agree the investment case and how to fund it,and the effect on premiums into the Pool.

For the existing investors it's great too, because they get an "exit" at a level they would otherwise never get.

The reason for this is that the Community's "cost of Capital" ( a reasonable "index-linked" return) is less than the daft rates demanded by the greedy bastards in the City and Wall Street.