Dutch Rojas
@DutchRojas • 34,428 subscribers
Healthcare for everyone, everywhere. Founder @TheRojasReport and MedMerge. from 🇳🇱, now 🇺🇸. DutchAi
Videos
UnitedHealthcare bet that seniors would rather suffer quietly than use the benefits they were sold. Then reality showed up. Sick people used the care they were promised, and the entire business model snapped in half overnight. 52 Week High: $622.83 52 Week Low: $234.60 Today's Price: $329.19 UnitedHealthcare Optum
Dutch Rojas190,260 görüntüleme • 7 ay önce
The craziest part of American healthcare isn’t that an MRI can cost $8,000. It’s that the $8,000 MRI survives right next to the $400 MRI, and nobody can trade the spread. That’s not a market. When prices become data and data becomes tradable, the charade ends. Capital hunts the inefficiency. Volume follows value. And the overpriced version either proves its worth… or meets reality. Roll the clip:
Dutch Rojas145,211 görüntüleme • 8 ay önce
West Virginia has a Republican governor, a Republican supermajority, and a Republican bill to eliminate a government barrier to competition. Not even a month later… Republicans killed it. CON laws give hospitals veto power over their competitors. Can you do a procedure better, faster, or cheaper? Nah, West Virginia doesn't want you. In order to build in the amazing state of West Virginia you need permission from the exact people who profit if you never exist. This isn’t a free market. It’s America’s China/Russia hybrid a cartel with a committee hearing. And West Virginia Republicans protected it. Governor Patrick Morrisey WVU Health Sciences WVHA
Dutch Rojas128,849 görüntüleme • 7 ay önce
American families are getting mugged in broad daylight. You’re paying double what other countries pay for the same drugs, the same surgeries, the same outcomes. Why? Because the Congress rigged the game, and both parties cashed the checks. Let’s talk about what real reform looks like.
Dutch Rojas39,863 görüntüleme • 8 ay önce
The most explosive conversation I’ve had this year. Dr. Ge Bai (Johns Hopkins) lays out the core truth everyone in Washington avoids: Healthcare isn’t a right, it behaves like a commodity. Government doesn’t lower costs, it blocks the market that would. Price transparency only works when physicians are free. Innovation dies when a nation fears risk. And America must choose between entrepreneurship or stagnation. And if you think she’s bold here, she’s hosting Bill Gurley and Mark Cuban at Johns Hopkins on December 16 for a live debate on the future of healthcare. Details here: Full video below.
Dutch Rojas33,768 görüntüleme • 7 ay önce
If you’re a physician in private practice, your student debt doesn’t count. Not to the federal government. Not to PSLF. Not if you built your own clinic, serve your own patients, and operate without subsidies. But if you work for a tax-exempt system that receives billions in government support, suddenly your debt becomes “forgivable.” Here’s the absurdity: A nonprofit health system receives DSH funds, UPL subsidies, 340B drug profits, GME/IME payments, facility fee margins, and tax-exempt bonds. They pay executives $2–10M annually. They operate in commercial markets. They bill at 300–600% of Medicare for standard services. And their employed physicians qualify for Public Service Loan Forgiveness (PSLF)—as if they’re sacrificing. Meanwhile… A private practice physician: Builds their own business Takes on risk Serves Medicaid patients at below-cost rates Hires staff, negotiates contracts, covers malpractice Receives no subsidies And is told: PSLF doesn’t apply to you. Same degree. Same training. Same patients. But only one gets financial relief—the one inside the subsidized system. This isn’t fairness. It’s punishment for independence. If the US of A was serious about equity, PSLF must be site-neutral—based on who you serve, not who you’re employed by. Independent physicians treat the underserved. They open clinics in rural and urban deserts. They take Medicaid without fanfare. They just don’t work for the health system cartel. And in today’s healthcare economy, that’s the real public service. #PSLF #PhysicianDebt #IndependentPhysicians #LoanForgiveness
Dutch Rojas53,788 görüntüleme • 1 yıl önce
The entire U.S. healthcare system runs on one simple trick: you’re not allowed to know the price. Price transparency isn’t some radical new idea. It’s already the law. Health Systems are just ignoring it. and Washington’s pretending that’s fine. Because the second prices go public? The whole $4 trillion industry collapses under its own nonsense. Here’s what they don’t want you to know:
Dutch Rojas33,072 görüntüleme • 9 ay önce
People sure love to complain about physician salaries. You see it everywhere—today was no exception. But here’s what I don’t see: “Thank you for staying up until 3 a.m. to save someone’s life.” “Hey, thanks for taking on $300,000 in debt just to earn the right to take care of us.” “So glad Medicare has been paying you less and less for the past 19 years.” “Really grateful you missed your kid’s weekend events for eight years straight because you were busy helping ours.” Funny how those posts are missing, huh? Let’s shift the narrative. Respect the grind. Appreciate the sacrifice. Support the people who get you back, when your body has been wrecked… #healthcare
Dutch Rojas51,236 görüntüleme • 1 yıl önce
The 340B drug program was supposed to help poor patients. Instead, it became a $54B loophole that lets billion-dollar nonprofit health systems use to buy drugs at massive discounts, bill full price, and build marble lobbies with exquisite art and a piano man while independent doctors that treat Medicaid patients get nothing. Take a listen…
Dutch Rojas28,856 görüntüleme • 8 ay önce
Everyone’s screaming about the $34 trillion national debt. Cute. Meanwhile, you’re paying $25,000 a year for the possibility of seeing a doctor and if you do, they’ll still send you a bill that could buy a car. We didn’t build a healthcare system. We built a $5 TRILLION tollbooth between you and not dying…
Dutch Rojas33,415 görüntüleme • 11 ay önce
A group of physicians built a hospital in South Texas anyway, and now it’s a 520-bed system with a Level 1 trauma center. Of course, everyone said it couldn’t be done. Dr. Carlos Cárdenas joins The Doctor's Lounge to explain how they did it and why doctors must lead again. PHA DHR Health Anthony DiGiorgio, DO, MHA Sanat Dixit MD FACS Anish Koka, MD The Doctor’s Lounge Podcast
Dutch Rojas26,702 görüntüleme • 8 ay önce
Two doctors. Same training. Same procedure. Same result. One works for Johns Hopkins Medicine , a prestigious, we don’t even fart, non profit and the other owns their own clinic. Guess which is assigned higher payments for the same work? Spoiler: It’s not the one taking risk, paying taxes, and running a business. It’s the tax-exempt monopoly deemed “more valuable” by The US Government via The centers for Medicare and Medicaid (CMSGov) And Congress? They’re not broken. They’re bought. 🎥 Watch this and tell me healthcare isn’t rigged.
Dutch Rojas25,851 görüntüleme • 9 ay önce
My friend Larry Goldberg spent about 90 minutes laying out the structural crisis inside American healthcare. And the conclusion is straightforward. We can keep going the way we are. Toward a $5 trillion healthcare system. Declining life expectancy. More medical bankruptcies. More uninsured Americans. And layer after layer of government intervention trying to manage the consequences. Or we can change the system. Not with slogans. With structural reform. Larry’s point is simple: the United States can deliver better outcomes, cover more people, and spend trillions less doing so. But that requires action. And that conversation is starting now.
Dutch Rojas12,985 görüntüleme • 4 ay önce