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.
Episodes
27 episodes
Dutch Rojas on the $825 Million Hospital Deal That Trapped Oklahoma Taxpayers
HCA wanted out. SSM spent six months on due diligence and walked away without making an offer. Then the state of Oklahoma intervened and paid 10% above the asking price.This episode breaks down the OU Health transaction: how the purchase...
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Season 2
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Episode 7
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14:40
Dutch Rojas on The Soft Nationalization of Healthcare Delivery & Medicine
While everyone watched the front door for private equity, the house was being dismantled from the inside.The GAO report is clear: More than 50% of physicians are now consolidated with hospital systems. Private equity? 6.5%. The real pred...
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19:07
Dutch Rojas asks, "What happened to morality?"
The best lack all conviction, while the worst are full of passionate intensity.Yeats wrote that in 1919. It could have been written this morning.This week's Deep Dive sits with a harder question: What if th...
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Season 3
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Episode 8
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13:23
Dutch Rojas: The $24 Billion Medicaid Heist
Seven states found a loophole to extract $24 billion annually from federal taxpayers while contributing nothing to Medicaid. California alone took $13 billion. The scheme was technically legal until January 29, 2026.Dutch Rojas breaks do...
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Season 3
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Episode 7
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31:53
Dutch Rojas on The Hidden Yield Debate: Does Venture Capital Value Extend Beyond IRR?
As you may know, Dutch Rojas is the co-founder of The Physicians Capital Fund (PhyCap). PhyCap is a physician-led venture fund that invests in healthcare startups. All General Partners, except Dutch, are practicing physicians. ...
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Season 3
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Episode 6
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17:21
$33 Million for Running a "Charity": The SERP Loophole Exposed
Howard Kern retired from Sentara Healthcare in 2021. His payout: $33.2 million. Sentara is a nonprofit. Tax-exempt. A charity.How does a charity write a $33 million check to its CEO?A financial instrument called a SERP. A Supple...
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Season 3
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Episode 5
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18:13
$480,000: The Annual Tax You Pay, But Can Get Back...
You're staring at your 2025 P&L. Revenue flat. Expenses up 8-15% across the board. The profit margin that feeds your family is physically smaller than three years ago.The consulting class says run a tighter ship. Cut the bagels. Code...
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Season 2
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Episode 4
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33:04
The $12.5 Million Exposed: How Doctors Rent Their Risk While Hospitals Own It
A $12.5 billion industry. One million physicians paying in. And a wealth transfer hiding in plain sight.In this episode, we break down the malpractice insurance market and expose the financial structure that separates the renters from th...
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Season 2
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Episode 3
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17:25
Freedom Was Never About Doing Whatever You Want
A Sunday deep dive into the original meaning of freedom.We trace the word from 1581 Dutch merchants to the American founders. What we found: freedom wasn't about self-expression. It wasn't about rights. It was about one thing.A la...
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16:03
The $275 Billion Moat: Why Healthcare Is Rigged, Not Broken
A deep dive into The Rojas Report and its core thesis: American healthcare isn't broken, it's rigged. This episode prosecutes the case against the healthcare cartel, breaking down exactly how large hospital systems extract $2...
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Season 2
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Episode 1
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37:19
Physicians Are Losing the War and They Do Not Seem to Want to Save Themselves!
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...
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Season 1
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Episode 20
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20:06
How Minnesota Lost a Billion Dollars — And Why Your Premiums Keep Rising
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 construct...
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Season 1
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Episode 19
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9:49
How Physicians Can Use Captives to Reduce Malpractice Costs and Build Real Enterprise Value
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 transfor...
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Season 1
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Episode 18
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18:21
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 auto...
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Season 1
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Episode 17
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43:17
Stop Waiting for Permission: Dr. Jahangir Asghar on Owning Your Career
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...
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Season 1
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Episode 16
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27:51
Why Employers Are Funding the Entire Healthcare System. A Conversation with Dr. Deep
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.<...
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Season 1
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Episode 15
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27:15
Stanford Health: The Nonprofit That Acts Like a Wall Street Empire
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...
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Season 1
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Episode 14
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5:07
How Healthcare Lost Its Soul: A Conversation With Dr. Ali
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 Am...
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Season 1
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Episode 13
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1:04:40
Physicians Should Take Back Healthcare | Dr. Carlos Cárdenas on Building America’s Only Physician-Owned Level 1 Trauma Center
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...
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Season 1
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Episode 12
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21:13
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:V...
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Season 1
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Episode 11
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27:15
The Hidden Law That Banned Physician Ownership: Section 6001 Exposed
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 ...
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Season 1
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Episode 10
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18:07
Manhappiness, Moratoriums & “Bone-on-Bone” Reality: Dr. James McAtee on Building Physician Power
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 operatin...
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Season 1
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Episode 6
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38:08
Hack the System: How MedReveal Is Cracking the Healthcare Price Transparency Code
🎯 Why ListenWhat 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 ...
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Season 1
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Episode 4
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41:00
Pathological Honesty and Physician Advocacy: A Conversation with Dr. JP Kolcun
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, a...
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Season 1
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Episode 5
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30:52