The opportunity for non-elite actors to share their opinions and experiences is often cited as a key democratic element of the media, developing in recent years alongside a rethinking of the audience as active contributors. Yet, given many of the temporal and resource-related newsroom pressures, the reliance on information subsidies and official or elite voices remains pervasive. This study focuses on coverage of healthcare and health policy, drawing on 14 weeks of news reports (n=896) from five Irish websites. As well as recording the prevalence of private citizens, a novel methodology allows a deeper understanding of how journalists obtained these contributions, such as through “cannibalising” quotes from other media reports. While private citizens have salience in the news, this may primarily be due to journalists’ reliance on easily accessible information, rather than more fundamental democratic shifts in news reporting practices. Further analysis shows private citizens rarely appear as detached, informed commentators, but typically as victims with direct negative healthcare experiences. The findings and discussion reinforce the idea of news sourcing as a social system that is continually reproduced, steered by structural forces to do with signification, legitimation and available resources.