What David Goldhill has said about Third-party payment in healthcare

Goldhill contends that third-party payers ask for a 'fair price' rather than letting competition drive prices to marginal cost.

“there's almost no corner of healthcare in which we let good old-fashioned competition drive people's prices down to marginal cost”

Proven Podcast: Healthcare Fixed: No Insurance Needed, Same Doctors, 60% Less - David Goldhill (Sep 9, 2026) · Listen from 10:30

Goldhill recounts that despite having open-heart surgery costing about $120,000-130,000, his $35,000 annual family premium makes insurance a bad deal for him.

“So roughly every four years, I pay for an open heart surgery, and I guarantee you we're not using one every four years”

Proven Podcast: Healthcare Fixed: No Insurance Needed, Same Doctors, 60% Less - David Goldhill (Sep 9, 2026) · Listen from 13:01

Goldhill argues that no one in healthcare can become more profitable by lowering prices, unlike in other businesses.

“Nobody in the healthcare system can make more money, can be more profitable by lowering their prices”

Proven Podcast: Healthcare Fixed: No Insurance Needed, Same Doctors, 60% Less - David Goldhill (Sep 9, 2026) · Listen from 14:57