It’s how my Family did it back in the 50s.
Imagine paying Doc Brown with a chicken back when
It’s was somewhat of a rhetorical question since my parents (and theirs) did the same in the 20-50s/60s.
It would be interesting to see a financial analysis done, even the case where you had to borrow money (assuming you could) to pay the doc. What would the payment with interest be compared to various insurance premium rates (especially those apparently on the way).