Dutch Rojas - Healthcare

Dutch Rojas - Healthcare Making healthcare affordable and accessible for everyone, everywhere… Email us for information!

SanoSurgery brokers surgeries and procedures between hospitals and physicians ("Sellers") and private individuals and self-insured employers ("Buyers").

04/24/2026

VC spent a decade promising to disrupt healthcare. Then they sold the disruption tools to the health systems.

04/24/2026

When a nonprofit hospital sues a patient over a $4,000 bill and no AG objects, “nonprofit” is just a tax strategy.

04/23/2026

Every major hospital system in America is a nonprofit. None of them are poor.

04/23/2026

Rural America doesn’t have a physician shortage. It has a health system that only deploys physicians where facility fees are profitable.

04/22/2026

Every entity inserted between a patient and their physician isn’t a feature. It’s a fee.

04/22/2026

They didn’t complicate healthcare because it was hard. They complicated it because complexity is billable.

04/21/2026

Your carrier collects your $42M premium on day one. Pays claims on day 45 to 90. Invests your money in between. Keeps the returns.

Buffett has been explicit about this model for 60 years.

04/21/2026

Nonprofit hospitals hold their assets “in trust for the public.”

There is a lawyer whose job is to represent that public interest.

It’s the state Attorney General.
Most hospital systems know this.
Most AGs act like they don’t.

04/20/2026

In March of 2026, HHS reviewed more than 400 nominations for 18 advisory seats.

The process was transparent.
FACA-compliant. Publicly announced.

The solo physician in Columbia, Missouri had the same nomination window as Sanford Health.

Sanford Health has a government affairs team.
That is not the story of a rigged process.

That is the story of what happens when one side shows up and the other does not.

hac.rojasreport.com

04/20/2026

The AHA spent $29 million lobbying the federal government in 2024

Its incoming chair just earned a seat on the new HHS/CMS committee.

No one broke any rules.

That is the part worth sitting with.

04/19/2026

18 seats on the Healthcare Advisory Committee.
Selected from 400+ nominations.

Sanford Health CEO.
Cleveland Clinic CFO.
Intermountain Health CSO.
Availity CEO.

Zero independent physicians.

The committee will now advise on Medicare physician payment rates.

The market structure here is not subtle.

Full member breakdown, affiliations, and conflict documentation:
hac.rojasreport.com

04/18/2026

The moment someone leads with their credentials you know they have run out of argument. The more credentials someone has accumulated the less they feel obliged to demonstrate it through reasoning and the more they feel entitled to substitute it for reasoning entirely.

This is extraordinarily convenient.

It means the person with the most credentials never has to engage the substance of a challenge.

They simply have to remind you of their credentials.

The challenge dissolves not because it was answered but because the questioner has been made to feel unqualified to ask it.

Watch how it works in practice.
You present a documented fact.

A 990 filing.
A Lown Institute analysis.
An FEC contribution table.
The response is not to address the fact.

The response is to establish that the person addressing it has thirty years of experience, two advanced degrees, and a perspective you could not possibly understand from the outside.

The fact has not been answered.
It has been outranked.

This is called appeal to authority and it is the most socially acceptable form of intellectual dishonesty in existence.

It works because we have spent centuries building institutions designed to produce deference to credentialed expertise.

The institution needs you to believe that the credential validates the argument.

Otherwise the argument has to stand on its own. And sometimes it cannot.

The 990 is public.
The FEC filing is searchable.
The data does not have a degree.
It does not need one.
It only needs someone with the discipline to read it and the nerve to say what it shows.

That combination turns out to be rarer than a PhD.

Address

3219 E. Camelback Road, Suite 249
Phoenix, AZ

Website

Alerts

Be the first to know and let us send you an email when Dutch Rojas - Healthcare posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Contact The Practice

Send a message to Dutch Rojas - Healthcare:

Shortcuts

Featured

Share