I find it ironic that a doc would place the burden on patients for unnecessary and futile services, since the most docs work on a fee-for-service model that encourages more procedures/services no matter their value to the health of the patient.
Most docs order unnecessary procedures as CYA measures due to malpractice as well.
When I interned at an ER, the vast majority of patients got chest X-rays "just in case."
I cost something like 1.4 million dollars to bring home from the hospital when I was born.
That's highly abnormal.
Look, your original statement was "why would anyone want to consume healthcare without insurance?" There are many reasons: first, primary care is affordable for reasonably healthy people -- even the middle class. It's just that few people ever actually research this. They just see inflated insurance bills and watch Obama on CNN and think that they NEED insurance to afford primary care.
Secondly, even many catostrophic procedures would be affordable to a wealthy individual. Yes, $20k for a surgery would be extremely damaging to you or me, but to a guy who makes well over 6 figures it's affordable.
Thirdly, a person without insurance can pay for any doctor he can afford. He doesn't have to pick from a list, and he doesn't have to fight over which procedures to have done.
You can get into stuff like treating cancer and other debilitating, chronic illnesses, but many insurance companies won't cover those costs as it is.
Opting out of insurance doesn't make someone an "idiot." It just means that they can either afford the care out of pocket, or have weighed the risk: reward factor and chose to opt out.