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
A Navy Physician Who Served With the Marines Breaks Down America’s Healthcare Crisis
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
• Why employers stay loyal to BUCA plans
• Why young physicians feel trapped
• What it will take to rebuild independence in American healthcare
• Why patients and physicians must unite
A candid, energizing conversation with someone who understands medicine, service, and policy at a deep level.
Follow Dr. O’Leary
X: @RealDocSpeaks
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Tags: navy physician, marine corps, medicine, healthcare reform, PBMs, Medicare Advantage, healthcare prices, independent physicians, Veterans Day, Dutch Rojas
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