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PODCAST

The Rojas Report

The Rojas Report with Dutch Rojas cuts through the noise in American healthcare.From policy fights in Washington to the boardrooms of venture-backed startups, Dutch brings physicians, investors, and entrepreneurs into real conversations about money, power, and independence in medicine.Expect sharp takes on healthcare policy, candid talks with startup founders, and even the occasional cigar-fueled debate about where the system is headed next.If you care about the future of healthcare, and who really

health & fitness medicine

All Episodes

20:06

Physicians Are Losing the War and They Do Not Seem to...

The Rojas Report ·

2025/12/05

In this conversation, Heath breaks down the brutal math reshaping American healthcare: 1.1 million physicians left. 68% employed by health systems. 12% employed by Optum. 6% by private equity. Barely 220,000 independent—and shrinking. We talk plainly about: • Why physicians “had the opportunity of a lifetime in the last six months” and missed it • How hospitals weaponize provider taxes, subsidies, and politics • Why premiums are now the second-largest financial burden after taxes • Wha...

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9:49

How Minnesota Lost a Billion Dollars — And Why Your...

The Rojas Report ·

2025/12/04

Minnesota just lost a billion dollars to the largest Medicaid fraud in American history. Fake kids. Fake meals. Fake providers. Real money. Gone. But the fraud is just the symptom. For 40 years, Minnesota has enforced a hospital construction moratorium that makes competition illegal. You can’t build a hospital. You can’t add a bed. Not without a law passed by the state legislature. A perfect monopoly shield for the state’s largest nonprofit health systems — and a perfect environment for fraud...

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18:21

How Physicians Can Use Captives to Reduce Malpractice...

The Rojas Report ·

2025/11/24

Physicians have no idea they can own their own insurance company—and stop bleeding cash into carriers who never return a dime. In this conversation, Collin Krickl breaks down how captives, self-funding, and enterprise-risk coverage can transform a practice’s balance sheet. CLIP SUMMARY Dutch sits down with Collin Krickl of Leon Capital & Bastion Insurance Group to explain how medical malpractice, property, and enterprise-risk insurance can be re-engineered to give physicians control ins...

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43:17

A Navy Physician Who Served With the Marines Breaks...

The Rojas Report ·

2025/11/22

Dr. James O’Leary served as a Navy physician assigned to the Marines and carried those lessons through an entire career in medicine. After retiring, he became a powerful voice on X, speaking openly about PBMs, Medicare Advantage, physician autonomy, and the structural incentives that drive healthcare costs out of control. In this episode, Dutch and Dr. O’Leary explore: • Life as a Navy physician with the Marines • How PBMs manipulate drug pricing • Medicare Advantage denials and algorithms ...

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27:51

Stop Waiting for Permission: Dr. Jahangir Asghar on...

The Rojas Report ·

2025/11/21

In today’s episode, I sit down with Dr. Jahangir Asghar for one of the most honest conversations we’ve had on this show. We talk about the part of medicine nobody teaches you: how to build a real career, protect your autonomy, negotiate the contracts that shape your life, and use social media as a strategic advantage instead of a distraction. Dr. Asghar breaks down: – Why social media has become one of the most powerful tools for independent physicians. – How he used it to build collaboration...

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27:15

Why Employers Are Funding the Entire Healthcare...

The Rojas Report ·

2025/11/20

In this episode, Dutch Rojas talks with Dr. Sandeep “Dr. Deep” Palakodeti about the financial engine running American healthcare — and the part nobody sees. Academic health systems break even on Medicare. They lose money on Medicaid. And they make their profits on one thing: commercial insurance paid by employers. That means employers and employees are subsidizing the entire healthcare system, and it’s the real reason premiums keep rising. Dutch and Dr. Deep go deep into: • Why commercial pre...

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5:07

Stanford Health: The Nonprofit That Acts Like a Wall...

The Rojas Report ·

2025/11/19

Why are your premiums so high? Because Stanford Health perfected a state-sponsored wealth extraction model — and did it while flying a nonprofit flag. In this 5-minute breakdown, Dutch Rojas walks through the numbers Stanford never wants the public to hear: • $17 billion in tax-exempt property • $170 million per year in lost funding to schools, roads, and public services • $1.7 billion in avoided taxes over the last decade • $8 billion in annual revenue • $12 billion in assets • $522 million ...

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64:40

How Healthcare Lost Its Soul: A Conversation With Dr....

The Rojas Report ·

2025/11/17

In this episode of The Rojas Report, Dutch sits down with Dr. Ali, physician, technologist, designer, and fierce defender of physician autonomy, for one of the most unfiltered conversations you will ever hear about the real forces shaping American healthcare. Most people blame one another for the system’s failures. Doctors blame insurers. Insurers blame hospitals. Politicians blame everyone. But Ali and Dutch go upstream, to the incentives, structures, and quiet policy decisions that ...

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21:13

Physicians Should Take Back Healthcare | Dr. Carlos...

The Rojas Report ·

2025/11/12

Dutch Rojas and Dr. Anthony DiGiorgio sit down with one of the most respected physician leaders in America, Dr. Carlos Cárdenas, President of PHA and Co-Founder of DHR Health, the only physician-owned Level 1 trauma center in the country. Dr. Cárdenas shares how a handful of doctors in South Texas built a full-service health system from the ground up — guided by one belief: if you take care of your community, your community will take care of you. You’ll hear how DHR Health began as a day-surg...

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27:15

Living to 150? Medicine 3.0, VO₂ Max, Sleep & the...

The Rojas Report ·

2025/11/10

Dr. Sandeep “Deep” Palakodeti joins Dutch Rojas to unpack Medicine 3.0, a first-principles, physician-led approach to prevention and longevity. They explore what it takes to live to 150: VO₂ max as the most powerful mortality signal you can trainWhy muscle is the ultimate insurance policy against declineSleep as risk management for your brain and lifespanInsulin resistance and the decade of missed opportunity before diabetesThe science and structure of Velocity Health, a precision care model ...

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18:07

The Hidden Law That Banned Physician Ownership:...

The Rojas Report ·

2025/11/06

Section 6001 of the Affordable Care Act quietly outlawed physician ownership of health systems. It was buried deep in the legislation, yet it changed everything about how medicine is practiced in America. Keywords: Section 6001, physician ownership, Affordable Care Act, healthcare reform, independent medicine. This episode was recorded live at the Physician-Led Healthcare for America (PHA) Summit in Santa Fe. Anthony DiGiorgio, MD, and Dutch Rojas sit down with Dr. Luis Manuel Tumialán, M....

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38:08

Manhappiness, Moratoriums & “Bone-on-Bone” Reality:...

The Rojas Report ·

2025/10/31

Why Listen: An orthopedic surgeon who built and sold a physician-owned surgical hospital explains, in plain language, how practices win on contracts, culture, and capital. If you’re serious about independence, this is your operating manual for the next 12–24 months. 👥 Host: Dutch Rojas – Founder, Rojas Media and Bliksem Health Guest: Dr. James “Jamie” McAtee – Orthopedic Surgeon, Partner at Orthopaedic & Sports Medicine Center (Manhattan, KS); Co-founder/leader at Manhattan Surgical...

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41:00

Hack the System: How MedReveal Is Cracking the...

The Rojas Report ·

2025/10/30

🎯 Why Listen What if patients and doctors could finally see behind the curtain of healthcare pricing? In this episode, Dutch Rojas speaks with the founders of MedReveal—three brilliant student entrepreneurs solving one of the most frustrating problems in medicine: price transparency. Discover how they’re empowering independent practices, fighting for fair negotiations, and wrangling absurdly massive data files to bring pricing power back where it belongs. 👥 Host Dutch Rojas – Founder,

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30:52

Pathological Honesty and Physician Advocacy: A...

The Rojas Report ·

2025/10/29

Why Listen? This episode dives into what drives the next generation of physicians to fight for their profession. Dutch Rojas sits down with neurosurgeon and podcast host Dr. JP Kolcun for a candid, funny, and deeply human conversation about the moral obligation to speak up, the optimism of young doctors, and why the future of medicine might depend on radical honesty and renewed physician leadership. Host: Dutch Rojas – Founder, Rojas Media and Bliksem Health Guest: Dr. JP Ko...

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5:18

The Rojas Morning Rundown

The Rojas Report ·

2025/10/29

While the government shuts down, America’s largest health agencies keep running on autopilot, funded not by Congress, but by user fees and hidden subsidies. In this solo briefing, Dutch Rojas dissects how the system continues to enrich insurers and health systems while squeezing out independent physicians and driving premiums ever higher. Host Dutch Rojas: Founder, Rojas Media and Bliksem Health Episode Overview: In this morning's rundown, Dutch exposes how the Centers for Medicare &...

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25:46

The Godfather of Physician Media: Scott Becker on...

The Rojas Report ·

2025/10/28

Dutch Rojas – Founder, Rojas Media and Bliksem Health Guest: Scott Becker – Founder, Becker’s Healthcare 📌 Episode Overview Dutch and Scott go deep on what it means to lead conversation in an industry that’s forgotten how to listen. Scott explains why X feels like a “modern-day video game,” how he uses it to connect with independent physicians, and why he believes it remains one of the last bastions of free speech. They also tackle the looming physician shortage, the rise of nurse

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39:29

The Women’s Health Wake-Up Call: Why Investors Can’t...

The Rojas Report ·

2025/10/22

🎯 Why Listen Women are the Chief Medical Officers of their families—yet the healthcare system continues to overlook them. In this compelling episode, Dutch Rojas dives deep with Dr. Vipul Kella and Dr. Paul Slosar to unpack why women’s health is the next great frontier for clinical innovation and venture capital investment. Learn why now is the moment to back female founders, build meaningful healthcare solutions, and invest with impact. 👥 Host Dutch Rojas – Founder, Rojas Media and

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17 results

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