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Arbitrage Is Not a Feature.
It’s a Signal of Failure.
15 hrs ago
•
Dutch Rojas
For 24 Years, One Lobbyist Stood Between Physicians and Their Own Hospitals.
No One Said a Word.
Mar 24
•
Dutch Rojas
6
3
3
I Have Been Waiting…
Sunday reflections.
Mar 22
•
Dutch Rojas
12
8
Abridge. Innovaccer. KeyCare. Three Startups. Health Systems on Every Cap Table. Zero Tools for Independent Physicians.
The venture capital money isn't missing. It's going exactly where it was always going.
Mar 21
•
Dutch Rojas
7
1
4
I Was on Becker’s Podcast This Week
Scott asked good questions. I gave him honest answers. Here’s the episode.
Mar 6
•
Dutch Rojas
15
1
2
20:35
The American Hospital Association Didn’t Invent Blue Cross.
It Did Something Worse.
Mar 5
•
Dutch Rojas
10
1
2
Eight Men in a Room Built the Machine That Controls Your Healthcare
Before the lobbying, before the lawsuits, before the $146 million in revenue, there were eight men who wanted to run hospitals better.
Mar 4
•
Dutch Rojas
9
1
1
February 2026
$20.5 Million in Premiums. $0 in Equity. That's the Deal You're In.
A 50-doctor independent practice will pay $20.5 million in insurance premiums over 20 years and build nothing from it.
Feb 28
•
Dutch Rojas
10
4
THE AHA DOESN'T ADVOCATE FOR PATIENTS. THE RECORD SHOWS IT NEVER DID.
The AHA spent $29 million lobbying in 2024, lost two federal lawsuits defending hospital secrecy, and stayed silent while its own board chairman's…
Feb 26
•
Dutch Rojas
8
3
1
The Orchestration Layer:
Why a 5-Physician Practice Now Has More Strategic Firepower Than a 500-Bed Hospital
Feb 24
•
Dutch Rojas
6
1
SUNDAY THOUGHT: ROME, AMERICA, AND THE HEALTHCARE CARTEL
1913: The Year They Rewired the Republic. The Healthcare Cartel Is What They Built With It.
Feb 22
•
Dutch Rojas
6
2
Who Owns Your Hospital? Inside the 30-Day Takeover of Nebraska's Largest Health System
In January 2026, a public university paid $800 million to seize sole control of a $2.5 billion nonprofit health system. The board that opposed the deal…
Feb 21
•
Dutch Rojas
7
2
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