I mean, you don't really need health care. Have you just considered dying instead?

A lot of modern diseases emerge from modern lifestyles. Sugar, fat and obesity/diabetes. Salt and hypertension. Cancer and the chemical industry. Myopia and lack of time spent outside. A lot of healthcare is manufactured, although not by the healthcare industry itself.

I don't think he was questioning the utility of being able to go to the hospital when you break an arm. But clearly if everyone lived the lifestyle he describe, the size of the healthcare industry could be dramatically reduced. Living that lifestyle is not only healthier, but also, I think, prepares us better for accepting death and avoiding some nonsensical end-of-life treatments.