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Denied Kid's $8K Surgery: My Bitcoin War on Broken Healthcare | Andy Schoonover

Nov 18, 2025
In this discussion, Andy Schoonover, founder and CEO of CrowdHealth, shares his journey into alternative healthcare after facing a shocking $8,000 bill for his daughter's ear surgery, which insurance denied. He reveals how CrowdHealth empowers members with direct-pay medical care, cutting costs by up to 50%. Andy critiques the perverse profit motives of insurers and hospitals, highlights the potential of Bitcoin for financial transparency, and breaks down how his community-driven model offers a viable fix for the failing U.S. healthcare system.
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ANECDOTE

Denied $8K Ear Surgery Sparked CrowdHealth

  • Andy paid an $8,000 bill for his one-year-old daughter's 15-minute ear surgery after insurance denied it as "medically unnecessary."
  • That denial motivated him to create CrowdHealth in 2021 as an alternative to fiat insurance bureaucracy.
INSIGHT

Perverse Incentives Drive Medical Inflation

  • Insurance and hospitals both profit when prices rise because of perverse incentives like the medical loss ratio.
  • That alignment drives higher premiums and denials rather than cost containment.
ADVICE

Require Small Copay To Prevent Abuse

  • Require small patient skin-in-the-game (e.g., $500) before community funding to discourage abuse.
  • Use community contributions to fund remaining costs and enable immediate direct payment.
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