Lead, follow, or move aside. From 🇳🇱 to🇺🇸 and from USMC to Healthcare. Building affordable & accessible solutions around the 🌎 . Leader of @therojasreport
United States
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Just remember that state and federal politicians block and prevent new medical facilities from being built and then hold hearings about why healthcare is expensive.
They think you’re stupid. Politicians in every state block new hospitals, new ERs, and new places to have safe surgery. Then they cry about affordable and accessible care while asking for your vote.
I used to look up to these people. Now I listen to them recite party-written talking points they cannot defend.
In what world does less supply produce lower prices?
We imported Soviet economic planning, added American flag lapel pins, and called it healthcare policy.”
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Dutch Rojas retweeted
It’s true. Through their conduit of the @BCAToday they control the state. Unlimited corporate political donations are nice.
Alabama also loves paying inflated healthcare benefits premiums in the country.
Why?
1. 96% market share by Blue Cross Blue Shield of Alabama.
2. Certificate of Need laws. In Alabama they teach that less supply of something equals lower prices.
The reason healthcare is expensive in Alabama is because of State politicians along with a governor and AG that refuse to fight for their constituents.
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Dutch Rojas retweeted
Wake up #Alabama
Alabama also loves paying inflated healthcare benefits premiums in the country.
Why?
1. 96% market share by Blue Cross Blue Shield of Alabama.
2. Certificate of Need laws. In Alabama they teach that less supply of something equals lower prices.
The reason healthcare is expensive in Alabama is because of State politicians along with a governor and AG that refuse to fight for their constituents.
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Dutch Rojas retweeted
Healthcare is the greatest silent tax on all Americans. Most don’t realize how much they are paying since it’s subsidized through employers, then deducted from paycheck, etc.
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Dutch Rojas retweeted
💯 embarrassing AG’s aren’t all over this. Easier to raise taxes on constituents rather than hold them accountable.
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Alabama also loves paying inflated healthcare benefits premiums in the country.
Why?
1. 96% market share by Blue Cross Blue Shield of Alabama.
2. Certificate of Need laws. In Alabama they teach that less supply of something equals lower prices.
The reason healthcare is expensive in Alabama is because of State politicians along with a governor and AG that refuse to fight for their constituents.
U.S. Sen. Tommy Tuberville told a reporter that Alabama residents voted for President Donald Trump and are willing to pay high gas and diesel prices to support his war in Iran.
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Tax exempt corporations will sue patients into oblivion and sponsor NFL teams for good tickets.
"Apparently, America’s tax-exempt hospitals have room in the budget for professional football."
Why don't nonprofit conglomerate hospitals live by the same tax rules as other corporations, when their only motive is to corner the medical market?
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Dutch Rojas retweeted
Why do we let hospitals advertise?
If their service is good, we will hear about it!
Hospitals receive loads of tax dollars through Medicaid and Medicare programs, have limited competition due to tight regulation, and are exempt from paying certain taxes as a “non-profit”.
Shouldn’t their ads at least mention these things?
Why is healthcare expensive?
Emory sponsors the Falcons.
UW Health sponsors the Packers.
Apparently, America’s tax-exempt hospitals have room in the budget for professional football.
The public just doesn’t get to see the price.
Here’s where you come in.
Tax exemptions leave these institutions with money they would otherwise owe.
The public gives up that revenue because these hospitals serve a public purpose.
That bargain deserves scrutiny when the hospital starts buying NFL advertising.
Every dollar spent on a sponsorship is a dollar unavailable for patient care, financial assistance, or lowering bills.
Maybe the advertising generates enough business to justify the expense. Then publish the numbers.
Tell taxpayers what you spent, what you received, and how patients benefited.
These institutions understand the commercial value of an NFL audience perfectly well. They also understand the financial value of being called a charity.
The public deserves to know how much of its generosity ends up in professional football…
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Dutch Rojas retweeted
Why does the public accept this behavior from entities that have tax exemptions intended to provide charitable care.
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Why is healthcare expensive?
Emory sponsors the Falcons.
UW Health sponsors the Packers.
Apparently, America’s tax-exempt hospitals have room in the budget for professional football.
The public just doesn’t get to see the price.
Here’s where you come in.
Tax exemptions leave these institutions with money they would otherwise owe.
The public gives up that revenue because these hospitals serve a public purpose.
That bargain deserves scrutiny when the hospital starts buying NFL advertising.
Every dollar spent on a sponsorship is a dollar unavailable for patient care, financial assistance, or lowering bills.
Maybe the advertising generates enough business to justify the expense. Then publish the numbers.
Tell taxpayers what you spent, what you received, and how patients benefited.
These institutions understand the commercial value of an NFL audience perfectly well. They also understand the financial value of being called a charity.
The public deserves to know how much of its generosity ends up in professional football…
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Mandate that all 340b hospitals pass on the forced discounts to patients.
I’m just an immigrant that learned English later in life and yet this strategy alone would help patients save a few hundred billy…
Lowering drug prices for every American is something we can all come to the table on — that’s why every governor is all-in on GENEROUS.
President Donald J. Trump was the only one to actually bring them to the table.
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Dutch Rojas retweeted
Kol Hakavod to both of you.
Blaming the physician trying to get paid long after the service was provided is a disgrace.
The fiasco was all orchestrated decades ago by both parties -the hospitals-insurers -pharma and it's been a relentless multi pronged multiphase attack on Doctors and patients ever since . all for greed if epic proportions
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Apparently, physician independence stops being a free-market virtue the moment an insurance company has to pay for it.
Bravo to Ed Gaines, Esq. (@EdGainesIII), for his tireless work on the No Surprises Act and independent dispute resolution. IDR has helped physicians keep their practices and fight back when payers dictate what their work is worth.
The think tanks and politicians attacking IDR have disgraced themselves.
Lecturing physicians about market discipline while defending the companies holding the checkbook takes industrial quantities of gall.
Tax-exempt hospital corporations swallow competitors. Payers squeeze the practices still standing.
Somehow, the physician challenging an underpayment becomes the threat to affordable healthcare.
If your version of competition requires the independent physician to surrender, save us the policy paper.
CMS, insurance companies, and health systems already have a marketing department….
I am very pleased to report that the United States District Court in TX has dismissed with prejudice Blue Cross and Blue Shield of Texas' claims against Zotec Partners, as of 9/23/26.
While no official count, I believe that health plans have failed in all of their attempts (8 cases filed and dismissed) in the federal courts to bypass and re-litigate issues, e.g. claim eligibility, that Congress dictated have to be determined in the IDR process per the No Surprises Act.
Thank you to Dr. William Freudenthal (Vituity), Chair of the Emergency Dept. Practice Management Association (EDPMA), and Mr. Aron Goldfeld (Team Health), EDPMA board and executive committee, for their leadership with EDPMA's "amicus curiae" (friend of the court) brief filed in support of Zotec Partners' motion to dismiss the BCBSTX complaint.
The support of the physician, IDR and RCM community against the health plans' litigation tactics has been vital to the outstanding success achieved by the community to date.
The court's decision is posted on my LinkedIn account here: lnkd.in/p/emA8piNT
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Dutch Rojas retweeted
“Do you have any regret in life?”
Over 50 million views across social media for this conversation with an 88 year old man on a bench.
📸 WATCH!
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Dutch Rojas retweeted
HAPPY BIRTHDAY @DutchRojas your parents better be mighty proud!! What you have learned and exposed and the brilliant creation of your content to make a difference of what might be the most corrupt and preditory system of our time. The medical/insurance industrial complex!GodSpeed
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Dutch Rojas retweeted
Happy Birthday! A bright future for American medicine means a bright future for American patients!
(Assuming said profession is led by realist scientist-clinicians, not partisan tools, of course.)
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Dutch Rojas retweeted
Here are some ideas to use as a starting-off point to advance the adult conversation.
Thanks, @DutchRojas.
I turn 51 today. Washington has spent 16 of those years restricting physicians from opening and expanding hospitals.
After more than 25 years building healthcare businesses, here’s my birthday wish list:
1. HHS, CMS, and Congress: end Medicare’s hospital markup. Why the hell are taxpayers paying hospitals more for the same procedures independent surgery centers already perform?
2. Ban Certificate of Need laws nationwide. Repeal Section 6001’s restrictions on physician-owned hospitals. Stop choking off competition and acting shocked at the prices.
3. Require prices patients and employers can compare before treatment and enforce when the bill arrives.
4. Reform the 340B drug discount program. Show what hospitals pay, what they collect, and what patients receive in financial assistance. Tie the benefit to documented help for patients.
Democrats and Republicans have fundraisers. I have a birthday wish list.
Somehow, their guests always get their wishes granted.
P.S. Thanks to my Mom for the awesome Ai bday card.
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Dutch Rojas retweeted
Congratulations - and you really are a great person to learn from about the health care insanity and how to fix it. Keep up the good work.
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Dutch Rojas retweeted
Best wishes for a Happy Birthday
to a real hero
this will be the year you are a guest on @theallinpod
TY for all you do for US doctors and patients to repair Healthcare delivery
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I turn 51 today. Washington has spent 16 of those years restricting physicians from opening and expanding hospitals.
After more than 25 years building healthcare businesses, here’s my birthday wish list:
1. HHS, CMS, and Congress: end Medicare’s hospital markup. Why the hell are taxpayers paying hospitals more for the same procedures independent surgery centers already perform?
2. Ban Certificate of Need laws nationwide. Repeal Section 6001’s restrictions on physician-owned hospitals. Stop choking off competition and acting shocked at the prices.
3. Require prices patients and employers can compare before treatment and enforce when the bill arrives.
4. Reform the 340B drug discount program. Show what hospitals pay, what they collect, and what patients receive in financial assistance. Tie the benefit to documented help for patients.
Democrats and Republicans have fundraisers. I have a birthday wish list.
Somehow, their guests always get their wishes granted.
P.S. Thanks to my Mom for the awesome Ai bday card.
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