Dutch Rojas
@DutchRojas • 34,617 subscribers
Healthcare. Building and funding companies that make healthcare affordable and accessible for everyone, everywhere.
Videos
Something is happening to the American Medical Association. Congress is FINALLY investigating its CPT monopoly. The Trump administration is questioning whether the federal government should keep using it. A new federal lawsuit wants to rip the copyright away and publish CPT for free. And physicians all over X are suddenly asking the question the AMA never wanted them to ask: Why does a private trade association own the language the federal government requires American healthcare to use? Now comes the fun part. Because when Senator Bill Cassidy asked the AMA what this monopoly costs, they told him: $18.50. He checked.
Dutch Rojas24,281 次观看 • 5 天前
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 次观看 • 9 个月前
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 Rojas145,219 次观看 • 9 个月前
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 次观看 • 9 个月前
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 次观看 • 10 个月前
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 Rojas53,831 次观看 • 1 年前
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 次观看 • 9 个月前
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 次观看 • 10 个月前
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 Rojas51,246 次观看 • 1 年前
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 次观看 • 10 个月前
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 次观看 • 1 年前
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 Rojas26,738 次观看 • 10 个月前