The Rojas Report

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There’s a 113-Year-Old Clock in the Netherlands That Prices 10 Billion Things a Year. Your Hospital Hopes You Never Hear About It.
It’s called a Dutch auction. It is the cleanest price-discovery machine ever built, and it shows exactly what was taken out of medicine: ownership by…
55 mins ago • Dutch Rojas
Why the Biggest Buyer in Outpatient Surgery Just Became a Seller
Cheap money built the consolidators. Expensive money is taking them apart. The opening is yours.
Jun 26 • Dutch Rojas
Capital Is Not Greed. It Is the Only Thing That Sets a Physician Free.
You understand your wage and have surrendered your assets. That gap is your dependency.
Jun 25 • Dutch Rojas
Yale New Haven Spends 0.69% of Its Budget on Charity Care. Where the Rest Goes Is the Real Story.
The bonds, the untaxed real estate, the executive payouts. Every advantage is legal. That is the problem.
Jun 18 • Dutch Rojas
The Price Transparency Law Has No Teeth. By Design.
Five years of grace, 27 fines, and a penalty that started smaller than a rounding error. That is not an accident.
Jun 17 • Dutch Rojas
$285,625 a Month to Stop Admitting Patients. The AHA Calls It a Lifeline.
The check looks like generosity. The fine print routes every complex patient to a system the REH can never be.
Jun 16 • Dutch Rojas
A Drug Gets Discounted. The Patient Pays Full Price. Here’s Who Pockets the Difference.
The contract pharmacy is not a pharmacy. It’s a toll booth.
Jun 14 • Dutch Rojas
Ohio Can Block Any Nonprofit Hospital Merger. There’s One $6.76 Billion Exception It Never Mentions.
Eight states can stop a hospital merger before it closes. Ohio is one. Watch where its authority ends.
Jun 13 • Dutch Rojas
Medicare Can’t Negotiate Drug Prices. The Man Who Wrote That Rule Got $2 Million.
The Medicare Modernization Act passed at 3 a.m. with the vote held open for three hours. The people who wrote it cashed out within a year. Here is the…
Jun 11 • Dutch Rojas
Lobbying Isn’t the Corruption. It’s the Operating System.
Everything you despise about Washington is how it actually works. Medicine never learned to play.
Jun 11 • Dutch Rojas
Your Nonprofit Hospital Owes Charity. In 1969, the IRS Let It Stop.
Billions in tax breaks. No required charity since 1969. And the hospital grades its own homework.
Jun 10 • Dutch Rojas
Mass General Brigham Is Not a Hospital. It’s a Corporation With a Patriots Sponsorship and a Tax Exemption.
The man who chairs the hospital board also runs the football team. The hospital sponsors the football team. The hospital’s community is owed $551…
Jun 9 • Dutch Rojas
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