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PODCAST

The Doctor"s Lounge

The Doctor"s Lounge

Where scalpels meet systems — and physicians say what they really think.Co-hosted by Dutch Rojas, Anthony DiGiorgio, DO, with Anish Koka, MD, Dan Choi, MD, & Sanat Dixit, MD — candid talks on healthcare policy, reform, physician autonomy & patient care.

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All Episodes

01:05:46

The $2 Million Verdict: Inside the First Detransition...

The Doctor"s Lounge ·

2026/02/07

Benjamin Ryan was the only journalist in the courtroom for every day of the first detransition lawsuit to reach a jury verdict. In January 2025, a White Plains jury awarded $2 million to Fox Varian, who received a double mastectomy at age 16 after being diagnosed with gender dysphoria. Years later, she detransitioned and sued her psychologist and plastic surgeon.What happened in that courtroom tells a bigger story about how American medicine got here, why Europe is walking it back, and what happens

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00:47:45

Ed Gaines: How Independent Physicians Finally Got...

The Doctor"s Lounge ·

2026/02/06

Guest: Ed Gaines, JD, CPC Vice President of Regulatory Affairs, Zotec Partners Honorary Member, American College of Emergency PhysiciansEpisode Summary:If you're a hospital-based physician and you don't understand the No Surprises Act, you're missing the biggest shift in payment leverage in decades. Insurance companies estimated there would be 17,000 disputes. The actual number? Over 2.5 million. And physicians are winning 85-90% of them.Ed Gaines has been fighting for physician payment for 32

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01:07:46

Dr. Gantwerker: Medicare Advantage, Private Practice,...

The Doctor"s Lounge ·

2026/02/01

What happens when a spine surgeon who's been in private practice since the Obamacare era sits down with doctors across the political spectrum? You get one of the most honest conversations about healthcare reform we've had.Brian Gantwerker doesn't fit neatly into anyone's box. He's a private practice capitalist who thinks breaking up insurance companies is essential. He believes in "just pricing" for craniotomies (hint: it's more than $2,000). He thinks Medicare was actually a great payer—until

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01:07:06

The DPC Revolution: Dr. Josh Umbehr on Making...

The Doctor"s Lounge ·

2026/01/30

Guest: Josh Umbehr, MD | Co-founder & CEO, Atlas MD | DPC PioneerSummary: In 2010, Josh Umbehr launched Atlas MD charging $50/month for unlimited primary care with no insurance billing. Other doctors said it wasn't sustainable. Fourteen years later, he runs a platform serving 1,800+ practices and built his own insurance company. This conversation covers the full journey: wholesale medication costs ($0.01/pill metformin), the $2M it takes to start insurance, why Singapore's model works, and why

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00:44:51

Journalist Alex Berenson: Fraud and Abuse with Autism...

The Doctor"s Lounge ·

2026/01/25

KeywordsAlex Berenson, COVID vaccine, Medicaid fraud, autism services, healthcare, investigative journalism, MCOs, AI in healthcare, public health, healthcare policySummaryIn this conversation, Anish Koka and Alex Berenson delve into critical issues surrounding the COVID vaccine, Medicaid fraud, and the financial incentives within autism services. They discuss the implications of investigative journalism in public health, the role of Managed Care Organizations (MCOs), and the potential future of

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01:00:56

The Trump Healthcare plan, AI in Medicine, Medical...

The Doctor"s Lounge ·

2026/01/19

Send us a textSummaryIn this episode of the Doctor's Lounge, hosts Anish Koka, Anthony DiGiorgio, and Sanat Dixit delve into the complexities of healthcare policy, particularly focusing on recent statements made by former President Trump regarding healthcare reform. They discuss the implications of Trump's proposed 'Great Healthcare Plan,' which aims to lower drug prices and insurance premiums while increasing price transparency. The conversation highlights the need for deeper

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65:18

The ACA Subsidies, New Vaccine Schedules, Ezekiel...

The Doctor"s Lounge ·

2026/01/10

Send us a text Keywords healthcare, ACA subsidies, vaccine schedule, AI in healthcare, concierge medicine, food pyramid, healthcare policy, public health, physician autonomy, healthcare costs Summary In this episode, the hosts delve into the complexities of healthcare, discussing the ongoing saga of ACA subsidies, recent changes to vaccine schedules, and the implications of AI in healthcare. They explore the pros and cons of concierge medicine and the recent shift in dietary guidelines, e...

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60:38

TDL Year End Review: the Big Beautiful Bill...

The Doctor"s Lounge ·

2026/01/04

Send us a text Keywords healthcare policy, Medicaid, ACA, fraud, social media, bureaucracy, primary care, immigration, healthcare reform, insurance Takeaways The One Big Beautiful Bill aimed to reform Medicaid and tighten eligibility checks. Fraud in Medicaid has been highlighted by recent cases, particularly in Minnesota. Work requirements for Medicaid recipients are seen as a reasonable eligibility check. The expiration of ACA subsidies has led to increased healthcare costs for many. So...

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63:10

The Failure of the Electronic Medical Record in...

The Doctor"s Lounge ·

2025/12/21

Send us a text Keywords electronic medical records, healthcare technology, EHR challenges, physician experience, digital health, healthcare regulations, EMR usability, healthcare innovation, patient care, medical technology, EHR, healthcare efficiency, physician ownership, diversity in medicine, medical education, healthcare bureaucracy, DEI, patient care, healthcare systems, physician burnout Summary In this episode of Doctors' Lounge, the conversation revolves around the challenges and ...

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65:01

Diving Deeper into The Canadian MAID Program and GOP...

The Doctor"s Lounge ·

2025/12/13

Send us a text Keywords healthcare, MAID, patient autonomy, economic implications, GOP healthcare proposals, health savings accounts, dynamic pricing, Instacart, ethical dilemmas, healthcare systems Summary In this episode, the hosts discuss pressing issues in healthcare, focusing on the Canadian MAID program, the implications of patient autonomy, economic factors influencing healthcare decisions, and the GOP's proposals for health savings accounts. They also explore the concept of dynami...

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50:49

Side Table with Christopher Habig: Turning Medicaid...

The Doctor"s Lounge ·

2025/12/08

Send us a text Keywords healthcare, primary care, ER, cost reduction, pharmacy reform, 340B program, healthcare access, bureaucratic reform Summary The conversation focuses on the need to shift healthcare from emergency rooms to primary care, emphasizing cost reduction and improved access through reforms in pharmacy practices and bureaucratic processes. Takeaways Shifting healthcare to primary care can reduce costs significantly. Mail order pharmacy can save money on prescriptions. Bur...

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68:00

Medicaid Fraud, COVID Vaccine Deaths, Eli Lilly PBM...

The Doctor"s Lounge ·

2025/12/07

Send us a text Keywords healthcare, Medicaid fraud, DEI, vaccine safety, Eli Lilly, ACA, healthcare policy, trust in medicine, social determinants of health, healthcare reform Summary In this episode, the hosts discuss various pressing issues in healthcare, including Medicaid fraud, the impact of fraud on legitimate healthcare needs, and the ongoing debate about healthcare as a human right. They also discuss the recent report by the FDA on children that may have died as a result of receiv...

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58:34

Side Table with Dr. Anahita Dua : Women's Health,...

The Doctor"s Lounge ·

2025/12/06

Send us a text Summary Dr. Anahita Dua is a vascular surgeon at Massachusetts General Hospital who joins Dutch Rojas, Anish Koka, and Anthony Digiorgio to discuss her views on women's health and cardiovascular disease, the need for a broader understanding of women's health issues beyond reproductive health, and the problems female physicians face in medicine. We discuss the challenges of research funding, the importance of gender-specific studies, and the need for a decentralized approach to...

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76:47

Office Surgeries, Insurance Games, and Giving Thanks

The Doctor"s Lounge ·

2025/12/06

Send us a text Summary In this episode of the Doctors' Lounge, the hosts discuss a range of topics centered around healthcare, including personal experiences with medical procedures, the importance of trust in healthcare providers, the economics of office-based surgeries, and the role of insurance companies in driving up costs. They reflect on the need for a more patient-centered approach to healthcare and express gratitude for their personal and professional lives as they approach Thanksgiv...

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65:51

Free Market or Central Control? Physicians Debate the...

The Doctor"s Lounge ·

2025/11/25

Send us a text 🎯 Why Listen: Dive into a heated discussion on the future of healthcare, where leading physicians debate the merits of free market principles versus centralized healthcare planning. Discover why the current system may be failing and what can be done to steer it in a better direction. 👥 Co-Hosts: Dutch Rojas – Founder, Bliksem Health Anthony DiGiorgio, DO, MHA – Neurosurgeon, UCSF; health policy researcher Anish Koka, MD – Cardiologist, Philadelphia; healthcare policy co...

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64:52

The Hidden Costs of Coverage: Why Subsidies Can’t Fix...

The Doctor"s Lounge ·

2025/11/18

Send us a text 📌 Episode Overview: In this episode, the co-hosts dive into the complexities of healthcare policy, discussing the impact of ACA subsidies, the role of insurance companies, and the potential for HSAs to empower patients. They explore the challenges of healthcare costs, the influence of government subsidies, and the need for a competitive marketplace. 👥 Co-Hosts: Anthony DiGiorgio, DO, MHA – Neurosurgeon, UCSF; health policy researcherAnish Koka, MD – Cardiologist, Philadelphia;

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62:40

The Healthcare Fallacy: How Big Systems Broke the Market

The Doctor"s Lounge ·

2025/11/11

Send us a text Show Link: https://www.acpjournals.org/doi/10.7326/0003-4819-153-8-201010190-00274 Why Listen 👥 In this episode, the hosts delve into the complexities of the healthcare system, discussing the impact of large hospital systems as major employers, the broken window fallacy in healthcare, and the challenges of high premiums. They explore the historical context of certificate of need laws and site of service differentials, and how these contribute to rising healthcare costs. The

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57:48

Behind the Bill: What’s Really Driving Healthcare Costs

The Doctor"s Lounge ·

2025/11/07

Send us a text Why Listen 👥 In this episode, the hosts delve into the complexities of healthcare costs, the impact of policy decisions, and the role of market forces in shaping the healthcare landscape. They discuss the consolidation of healthcare providers, the influence of insurance companies, and the challenges faced by independent practices. The conversation also touches on the COVID-19 pandemic, the response of public health officials, and the lessons learned from the crisis. Co-Hosts

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29:56

Side Table: The 340B Dilemma: Who Really Benefits?

The Doctor"s Lounge ·

2025/11/04

Send us a text 📌 Why Listen Explore the complexities of the 340B program, its impact on healthcare systems, and the implications for both hospitals and independent clinicians. Understand the need for transparency and potential reforms to align the program with its original goals. 👥 Co-Hosts Anthony DiGiorgio, DO, MHA – Neurosurgeon, UCSF; health policy researcherAnish Koka, MD – Cardiologist, Philadelphia; healthcare policy commentator📌 Episode Overview In this episode, the hosts delve into

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61:38

When Politics Masquerades as Healthcare: A Deep Dive...

The Doctor"s Lounge ·

2025/10/29

Send us a text 🎯 Why Listen When Senator Chuck Schumer joined Dr. Mike’s podcast to discuss “The Truth About the Government Shutdown,” the talk quickly became a lesson in political spin. In this episode, the co-hosts of The Rojas Report dissect Schumer’s claims, challenge Dr. Mike’s deference, and unpack the policy mechanics behind Medicaid, ACA subsidies, and America’s trillion-dollar healthcare debate. Expect blunt analysis, sharp data, and unapologetic truth-telling about what’s really

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41 results

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