David Goldhill, the CEO of the Game Show network, never intended to be at the center of the nation’s healthcare debate. After his father died from an infection he caught in a poorly run hospital, Goldhill became obsessed with the health reform, constantly researching it, asking questions, and talking about it at dinner parties. Finally, a friend asked him to write an essay on his views: when that essay landed in the hands of an Atlantic editor, it got published and became a national sensation. Big Think talked to Goldhill about his vision of consumer based care, what Obama can do to steer the country in the right direction, and the world’s best healthcare practices.

Goldhill’s proposal of orienting healthcare around the consumer and largely eliminating health insurance as a primary means of health payment is the concept architecture of reform movement. A realistic implementation of the system—as Goldhill readily admits—would take years. However, he brings up important points about our misconceptions about American healthcare. Goldhill also points out surprising healthcare innovators, such as Singapore.