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 gets to shape it, this is your show.
The Rojas Report
Living to 150? Medicine 3.0, VO₂ Max, Sleep & the Velocity Health Model
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 train
- Why muscle is the ultimate insurance policy against decline
- Sleep as risk management for your brain and lifespan
- Insulin resistance and the decade of missed opportunity before diabetes
- The science and structure of Velocity Health, a precision care model built by physicians for patients
- And a frank discussion of why coverage ≠ care in American healthcare
Dr. Deep also shares his perspective on ACA subsidies, employer-based healthcare, and what it means to design a physician-owned model that restores time, access, and accountability.
Key Takeaways:
- Medicine 3.0 = prevention before pathology
- VO₂ max > smoking in predicting mortality
- Preserve muscle, protect sleep, and measure early
- Personalized care beats procedural volume
- Real access requires physician ownership, not insurance contracts
Guest: Dr. Sandeep “Deep” Palakodeti — Founder, Velocity Health
Website: https://www.velocityhealthclinic.com
Host: Dutch Rojas — The Rojas Report
🎧 Listen, learn, and rethink prevention.
Timestamps
00:00 — Normal people in sensational times
01:31 — “Live to 150”: why it’s not crazy
02:55 — CRISPR, AI, and the biology of human longevity
04:22 — Longevity escape velocity explained
06:11 — What 80–90-year-old high performers have in common
07:08 — VO₂ max: the strongest predictor of mortality
08:01 — The case for building muscle as you age
08:28 — Sleep, stress, and founder burnout
09:57 — Why the 7-minute visit model fails
10:48 — Sandeep’s journey and the birth of Velocity Health
13:18 — What makes the Velocity model different
16:25 — Medicine 3.0 vs. Medicine 2.0
19:25 — How early detection prevents diabetes
20:25 — Why prevention needs its own payment model
21:11 — Policy talk: ACA subsidies and shutdowns
22:38 — Coverage ≠ care: what employers miss
24:36 — Why health systems profit off your premiums
26:32 — The future: catastrophic coverage + HSAs for health inputs
27:59 — The affordability crisis for young adults
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