How Andy Schoonover & CrowdHealth Are Dismantling Medical Fiat

by Amanda Lee


What if someone told you that ditching health insurance could save you money, help you stack sats, and get you better healthcare?

Most Bitcoiners would be intrigued but skeptical. Don’t trust, verify, right? But once you’ve seen how fiat money corrupts the monetary system, it’s not a huge leap to recognize the same manipulation infecting healthcare.

Andy Schoonover, CEO of CrowdHealth, discovered the brutal reality of “health insurance” when his one-year-old daughter needed a routine 15-minute procedure to repair a hole in her eardrum.

Despite paying $1,200 monthly for an Affordable Care Act plan, the hospital billed $8,000 and his insurance refused to pay, declaring it “medically unnecessary.”

“I went through two rounds of appeals process and they were still like, ‘Nope, we’re not paying for it,’” Schoonover recalls. “And so at that point I was just like, ‘Screw this. I’m not doing health insurance. This is such a scam.’”

The immediate aftermath was not fun. “So I called them and I said, ‘I quit.’ And so then I went back to my wife and was like, ‘So we don’t have health insurance anymore.’ And she’s like, ‘Say what? Excuse me?’” This would lead to the beginning of something entirely new.

The Cash Price Epiphany

Schoonover discovered what many only learn after getting burned: paying cash gets you better healthcare at a fraction of the cost. The same procedure that was billed at $8,000? “If I would’ve paid cash,” he said, “it probably would’ve been like $2,000, maybe less.”

That moment was, as he calls it, the “genesis block” of CrowdHealth: a decentralized, community-driven alternative to health insurance where members fund one another’s medical expenses directly.

The mission? Cut out bloated insurance bureaucracies and bring back price transparency and personal responsibility.

Orange-Pilling Healthcare

As a Bitcoiner since 2021 with 80% of his liquid assets in bitcoin, Schoonover saw an opportunity to align CrowdHealth with the ethos of sound money.

“Jimmy Song is a buddy of mine,” he said. “He was like, ‘Instead of a big fiat pool on the backend, why not a Bitcoin pool?’”

Regulatory constraints ruled out pooled bitcoin funds, for now, but CrowdHealth found a clever workaround. Members make two separate payments each month:

  • $55 “Advocacy Fee”: Covers bill negotiation, access to the app, and a Personal Care Advocate.
  • A crowdfunding contribution: Sent directly to other members to pay medical bills. For non-Bitcoin members, this amount changes monthly based on need. For Bitcoin members, it’s fixed at $140.

In the Bitcoin plan, if the month’s actual need is less than $140, say $75, then the leftover $65 difference is automatically deposited into their Fold account.

crowdhealth fold
https://www.joincrowdhealth.com/fold

“It’s a great way to stack,” Schoonover said. “Ultimately, we’re trying to create enough scale within our Bitcoin community so that all the transactions can be done over Lightning.”

His vision? Replace the dollar as the medium of exchange in one of the largest industries on the planet: healthcare.

“If we can do that,” he said, “that goes a long way toward displacing the dollar.”

A Bitcoin Healthcare Circle

With 12,000 members (and over 15,000 helped), CrowdHealth is quickly gaining traction. A quarter of its user base are Bitcoiners.

The backend Lightning infrastructure is already built. Bitcoin-friendly doctors are reaching out to get paid in sats. Even one of the ten largest hospital systems in the U.S. has shown interest in accepting bitcoin.

“If I can get patients who want to pay in bitcoin, doctors who want to receive bitcoin, and the infrastructure in place, then I think we’ve got something really special,” Schoonover said.

Better Prices. Better Behavior. Better Outcomes.

The platform’s numbers are hard to ignore. For medical bills over $2,500, members pay about 50% less than they would through traditional insurance.

“Imagine our healthcare system if all the prices were slashed by 50%,” Schoonover said. “That’s a $2.5 trillion impact. That’s $2.5 trillion going back into people’s pockets, people who could be buying bitcoin.”

And it’s not just about saving money. Like Bitcoin, CrowdHealth incentivizes sovereignty, not just financially, but physically.

“When you’re personally responsible for your own stuff, your behavior starts changing,” he said. “I see this with Bitcoiners. They take better care of themselves.”

CrowdHealth even rewards members who stay metabolically healthy. Members with fasting insulin under 5 or low visceral fat receive a 10% discount, with plans for that to rise to 20% next year. They also don’t accept smokers or those over 260 pounds.

“We want people who are opting out of the system and taking responsibility,” Schoonover notes. “50% of our babies in April were born at home. The national average is 1.8%. That tells you the type of people we serve.”

Brian’s Story: A Million-Dollar Test

To skeptics, Schoonover offers real-world results, like Brian, a CrowdHealth member who accidentally shot himself with a .44 Magnum while fishing in bear country (Montana). The bullet traveled through his calf, thigh, and chest.

He was airlifted to a hospital two hours away, placed in a coma, and hit with a million-dollar bill. CrowdHealth negotiated it down to somewhere between $200,000–$250,000 and the community funded it.

“I get to tell that story now,” Schoonover said. “I’m not excited Brian went through that. I’m excited that CrowdHealth was his ally, not his enemy.”

Why Bitcoiners Should Care

Despite the philosophical overlap, many Bitcoiners still cling to traditional insurance. Schoonover doesn’t get it.

“If you’re okay with leaving fiat,” he asks, “why are you still afraid to leave fiat healthcare?”

To him, the parallels are clear. Both systems are opaque, centralized, and built to extract. Both can deny access, dictate choices, and delay help when it matters most.

“They can say, ‘We’re not paying for that.’ And that means you don’t get it,” Schoonover explains.

“That’s more control than the dollar ever had. At least with money, you can choose how to spend it. But when it comes to health insurance, they can block care entirely. That affects your body, your time, and your life.”

For a community that prides itself on personal responsibility and opting out of broken systems, it’s a contradiction worth examining. CrowdHealth is a simple idea, built and designed for people looking to take back control of their health and healthcare. 

crowdhealth vs health insurance
Healthcare: do you want to deal with bureaucracy or people who care? — CrowdHealth on X

Building Sovereignty in a Broken System

With subsidies and Medicaid support expected to tighten, millions will be searching for alternatives. CrowdHealth is ready.

The platform is expanding community groups. From Bitcoiners to carnivores, faith-based families, and more. The idea is simple: shared values increase generosity and accountability.

“We want people who are metabolically healthy, who are raising babies, who are living active lives,” Schoonover said. “Not people whose chronic conditions cost 5x more because of bad lifestyle choices.”

The top CrowdHealth expenses aren’t chronic illnesses, they’re sports injuries and pregnancies. That’s a good sign.

“We want people to thrive. I want my customers at 80 years old out back playing whiffle ball with their grandkids,” Schoonover said. “I want them to live hard and die fast, not suffer a slow, expensive decline.”

That’s the vision: not just lower premiums or faster payments, but a healthcare system that actually makes you healthier.

A Decentralized Alternative Worth Stacking

CrowdHealth is not health insurance. It’s a parallel system where members fund each other directly, based on shared values and mutual trust. That trust is the foundation, not bureaucracy, not claims departments, not fine print.

crowdhealth care package
CrowdHealth actually cares about their customers — CrowdHealth on X

Bitcoin doesn’t rely on trust. It relies on code and consensus. But what unites both systems is the desire to escape manipulation and reclaim control.

The dollar system is broken. So is healthcare. CrowdHealth offers a path out of both.

And here’s the question Schoonover wants every Bitcoiner to ask:

“What keeps you from decentralizing your healthcare?”

If you’ve already orange-pilled your savings, maybe it’s time to do the same with your care.

Still unsure? Tweet your questions to @JoinCrowdHealth. The community is real. The results are real. And the future with a better healthcare system just might be, too.

Disclaimer: The Author of this post is a happy Crowdhealth customer.





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