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Dutch Rojas

@DutchRojas34,473 subscribers

American healthcare isn’t broken. It’s built this way. I show you the receipts, daily. Founder @TheRojasReport

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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 Rojas

53,788 次观看 • 1 年前