In "The Fifth Risk," Michael Lewis explores the discrepancies in the health industry's pricing by highlighting the insider knowledge of costs. The author emphasizes that much of the health sector misrepresents the true costs involved in producing medical products and services. This raises concerns about transparency and the ethical implications of such practices.

One poignant quote from the book encapsulates this issue: "The entire health industry lies about what things cost to make, she said. I know what things cost because I made them." This statement reflects the frustration of those who understand the actual manufacturing costs and feel that consumers are misled, ultimately pointing to a lack of accountability within the industry.