In a theoretical high trust local community that had no concept of "an economy" at all, where you do what you do best for the sake of doing and strengthening & maintaining what's around you I would imagine work somehow being of good will..

A town doctor would benefit from care with his reward being the gifts and assistance provided by the ones who he cares for. A pie or a cake from a chef maybe. Perhaps repairs from a plumber who was injured on the job.

But then what happens when the town doctor cares for people who don't work, or people who work in a field that give no relevant, immediate benefit to the doctor?

The only problem here is that there is no perceived immediate gain from that. And that appears to be the basis of which all old and new economies and doctrines appear to have been founded off of, unfortunately. All of which have their own issues that in retrospect could be considered worse than a "no economy at all lmao just do whatever" doctrine.

Hmmm...