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The Bitcoin Matrix

Bitcoin Fixes Healthcare with Andy Schoonover

10/17/2022 · 95 min · transcript via mlx

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Andy Schoonover, founder and CEO of CrowdHealth, describes how government capture and insurance company incentives have created perverse pricing in healthcare, where both insurers and hospital systems benefit from rising costs rather than competition driving prices down.

CrowdHealth operates as a crowdfunding model for medical bills, not insurance: members contribute $175/month (individuals) or $695/month (families of 4+), keep the money in personal accounts earning interest, and crowdfund larger expenses from the community based on demonstrated reciprocity and good standing.

The U.S. healthcare system is built on information asymmetry and administrative bloat: 75–80% of hospital bills contain errors, doctors spend 30% of their time on insurance approvals, and billing creates a 2–3:1 ratio of administrative staff to physicians.

Bitcoin integration allows CrowdHealth members to hold up to 75% of their health savings account balance in Bitcoin, aligning incentives with sound money and removing the inflation pressure that pushes fiat-based health insurance premiums upward.

Procedural costs vary wildly across the U.S. (heart ablation: $86,000 in Wisconsin vs. $22,000 in Oklahoma City); obesity prevalence at 40% drives a 2×2×2 multiplier effect on total healthcare spending that could be reduced by $600 billion–$1 trillion if rates dropped to world average.

Community and reciprocity are central to CrowdHealth's model: crowdfunding requests show member participation history, creating social incentive to help; Bitcoiners and health-conscious communities form affinity groups that demonstrate higher willingness to contribute voluntarily.

Market & price signals

None discussed.

Actionable insights

Shift language from "uninsured" to "cash-pay" when engaging healthcare providers; doctors consistently prefer immediate payment over insurance billing delays and administrative overhead, and typically reduce prices 40–60% for transparent cash transactions.

Audit your health insurance plan's true cost: add employee premium contribution + employer contribution + deductible + co-pays + likely denial rate (18% on healthcare.gov plans) to realize you may be paying $20,000–$30,000 annually for coverage you cannot actually use, making self-directed health savings and crowdfunding more economical.

Request itemized lab work independently and price-shop across providers (CrowdHealth example: $44 vs. $735 insurance-billed price for identical panels); personal health data at transparent pricing enables informed decision-making without insurance intermediaries gatekeeping your medical autonomy.

Episode sponsorships

Paid placements mentioned in this episode. BTC Pods is not sponsored by or affiliated with these advertisers. Links are included so you can find offers mentioned on the show.

CrowdHealth — What if you didn't have to pay health care premiums anymore and could invest in Bitcoin instead? With CrowdHealth, you can put aside money for health expenses in your own account and hold up to 75% of the balance in Bitcoin every month. Pay one low monthly total to fund an account that is yours, choose your doctors, get great health care, and if a large expense comes up, CrowdHealth will help negotiate and crowdfund the bill for you. Right now, you can get your first six months for just $99 per month—a fraction of high deductible insurance plans. Go to joincrowdhealth.com and use code MATRIX to sign up. That's [joincrowdhealth.com](https://joincrowdhealth.com), promo code MATRIX. CrowdHealth is not health insurance; it's a totally different way of paying for health care. Terms and conditions may apply.

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