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# ![@DutchRojas Avatar](https://lunarcrush.com/gi/w:26/cr:twitter::475043222.png) @DutchRojas Dutch Rojas

Dutch Rojas posts on X about insurance, health insurance, money, united states the most. They currently have XXXXXX followers and XXX posts still getting attention that total XXXXXX engagements in the last XX hours.

### Engagements: XXXXXX [#](/creator/twitter::475043222/interactions)
![Engagements Line Chart](https://lunarcrush.com/gi/w:600/cr:twitter::475043222/c:line/m:interactions.svg)

- X Week XXXXXXX -XX%
- X Month XXXXXXXXX +429%
- X Months XXXXXXXXX -XXXX%
- X Year XXXXXXXXXX +492%

### Mentions: XX [#](/creator/twitter::475043222/posts_active)
![Mentions Line Chart](https://lunarcrush.com/gi/w:600/cr:twitter::475043222/c:line/m:posts_active.svg)

- X Week XXX -XX%
- X Month XXX +55%
- X Months XXX +34%
- X Year XXXXX +184%

### Followers: XXXXXX [#](/creator/twitter::475043222/followers)
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- X Week XXXXXX +1.30%
- X Month XXXXXX +13%
- X Months XXXXXX +14%
- X Year XXXXXX +49%

### CreatorRank: XXXXXXX [#](/creator/twitter::475043222/influencer_rank)
![CreatorRank Line Chart](https://lunarcrush.com/gi/w:600/cr:twitter::475043222/c:line/m:influencer_rank.svg)

### Social Influence [#](/creator/twitter::475043222/influence)
---

**Social category influence**
[finance](/list/finance)  #2599 [stocks](/list/stocks)  XXXX% [countries](/list/countries)  XXXX% [travel destinations](/list/travel-destinations)  XXXX% [technology brands](/list/technology-brands)  XXXX%

**Social topic influence**
[insurance](/topic/insurance) #158, [health insurance](/topic/health-insurance) #37, [money](/topic/money) 2.68%, [united states](/topic/united-states) 2.68%, [investment](/topic/investment) 1.79%, [university of](/topic/university-of) #27, [cvs](/topic/cvs) 0.89%, [$ci](/topic/$ci) 0.89%, [london](/topic/london) 0.89%, [ace](/topic/ace) XXXX%

**Top accounts mentioned or mentioned by**
[@realdocspeaks](/creator/undefined) [@nateweymouth](/creator/undefined) [@trekdocfan](/creator/undefined) [@garnerbell](/creator/undefined) [@shamitsdesai](/creator/undefined) [@seckennedy](/creator/undefined) [@repkevinhern](/creator/undefined) [@mcuban](/creator/undefined) [@mdbreathe](/creator/undefined) [@heathveuleman](/creator/undefined) [@andrewherkert](/creator/undefined) [@sayhibill](/creator/undefined) [@warrisbokhari](/creator/undefined) [@lighthousedpc](/creator/undefined) [@mass_marion](/creator/undefined) [@real_dr_mudgil](/creator/undefined) [@drozcms](/creator/undefined) [@repgregmurphy](/creator/undefined) [@senrickscott](/creator/undefined) [@mtgreenee](/creator/undefined)

**Top assets mentioned**
[CVS Health Corp (CVS)](/topic/cvs) [Cigna Corp (CI)](/topic/$ci) [UnitedHealth Group (UNH)](/topic/$unh) [Dave Inc. Class A Common Stock (DAVE)](/topic/$dave) [Uber Technologies, Inc. (UBER)](/topic/$uber)
### Top Social Posts [#](/creator/twitter::475043222/posts)
---
Top posts by engagements in the last XX hours

"You want to know where $XXX Billion Dollars of non profit tax subsidies go Marble floors exquisite art and their very own piano man"  
[X Link](https://x.com/DutchRojas/status/1981522631984607495) [@DutchRojas](/creator/x/DutchRojas) 2025-10-24T00:46Z 23.3K followers, 52.3K engagements


"Top XX Highest-Paid Health Insurance CEOs (2024) Maurice Smith HCSC (Blue Cross IL TX NM OK MT): More than $XX million Andrew Witty UnitedHealth Group: $XXXXX million (fired) David Cordani Cigna Group: $XXXXX million Joseph Zubretsky Molina Healthcare: $XXXXX million Karen S. Lynch CVS Health (Aetna) (2023): $XXXX million Sarah London Centene: $XXXX million Gail Boudreaux Elevance Health (Anthem) (2023): $XXXXX million David Joyner CVS Health (Aetna) (2024): $XXXXX million Daniel Loepp BCBS Michigan (2023): $XXXX million Dana Erickson BCBS Minnesota: $XXXX million Thats an extraordinary"  
[X Link](https://x.com/DutchRojas/status/1949607489793651164) [@DutchRojas](/creator/x/DutchRojas) 2025-07-27T23:07Z 23.3K followers, 13.9K engagements


"Every health system wants to be the App Store of medicine Shiny expensive totally closed system. I want physicians to build the Ace Hardware of healthcare: Independent local and you can actually talk to someone who knows what theyre doing"  
[X Link](https://x.com/DutchRojas/status/1971598394922528946) [@DutchRojas](/creator/x/DutchRojas) 2025-09-26T15:31Z 23.3K followers, 6353 engagements


"Who benefits from ACA subsidies Hint: Its not patients physicians or taxpayers. Every subsidy dollar moves through a predictable chain of custody and every stop on that chain earns yield before a single claim is paid. Lets follow the money X UnitedHealth Group (UNH) The largest beneficiary of all. ACA subsidies premium payments float investment income Optum integration. They profit on the insurance side the PBM side and the provider side. Result: $500B market cap. Sold by lawmakers. Funded by your taxes. X Centene (CNC) The Medicaid king. Over XX% of its revenue comes directly from government"  
[X Link](https://x.com/DutchRojas/status/1976110123798978610) [@DutchRojas](/creator/x/DutchRojas) 2025-10-09T02:19Z 23.3K followers, 42.1K engagements


"The easy off ramp is for you and other elected officials to do your job and stop being sales people for insurance companies and financial institutions"  
[X Link](https://x.com/DutchRojas/status/1976148477471228399) [@DutchRojas](/creator/x/DutchRojas) 2025-10-09T04:51Z 23.3K followers, 6235 engagements


"Healthcare bills arent complex because of medicine. Theyre complex because opacity protects margins"  
[X Link](https://x.com/DutchRojas/status/1977314301699322036) [@DutchRojas](/creator/x/DutchRojas) 2025-10-12T10:04Z 23.3K followers, 1969 engagements


"There once was a King with a crown of pure gold The richest and strongest (or so he was told) Who looked at his kingdom from way up on high And said Somethings wrong but I cant figure out why. His people were hungry. His people were cold. They fought over pennies. They did what theyre told. They bowed when he passed them. They trembled with fear. But the King thought Thats not why Im living here. So he took off his crown (which was heavy to wear) And he traded his throne for a three-legged chair And he put on an apron all covered in stains And he went to the streets in the cold and the rains."  
[X Link](https://x.com/DutchRojas/status/1977336455090311281) [@DutchRojas](/creator/x/DutchRojas) 2025-10-12T11:32Z 23.3K followers, 8902 engagements


"@DavidGrassmick Right And we should be a golden statue in your image and worship it Make it happen Dave"  
[X Link](https://x.com/DutchRojas/status/1978182007336161340) [@DutchRojas](/creator/x/DutchRojas) 2025-10-14T19:31Z 23.3K followers, XXX engagements


"Imagine Uber without the upfront price. Amazon without the item cost. Airlines billing you XX days after your flight. You wouldnt call that a market youd call it a hostage situation. Yet thats exactly how healthcare operates. Hayek wrote that the price system is a mechanism for communicating information not fairness not morality. Information. Without visible prices individuals are cut off from the one signal that matters: the real-time cost of a choice. This is why functioning markets show price feeds comparison engines futures transparent bids and asks. Healthcare removed the price signal on"  
[X Link](https://x.com/DutchRojas/status/1978817962422276186) [@DutchRojas](/creator/x/DutchRojas) 2025-10-16T13:39Z 23.3K followers, 15.9K engagements


"We want healthcare not insurance"  
[X Link](https://x.com/DutchRojas/status/1978953524504306108) [@DutchRojas](/creator/x/DutchRojas) 2025-10-16T22:37Z 23.3K followers, 7797 engagements


"Imagine billing $40000 for a hospital colonoscopy and still putting nonprofit in your mission statement. Thats not healthcare. Thats theater"  
[X Link](https://x.com/DutchRojas/status/1978979021154136337) [@DutchRojas](/creator/x/DutchRojas) 2025-10-17T00:19Z 23.3K followers, 42.2K engagements


"Private equity didnt kill independent physicians. Congress did. PE just showed up to collect the bodies"  
[X Link](https://x.com/DutchRojas/status/1979015260272034261) [@DutchRojas](/creator/x/DutchRojas) 2025-10-17T02:43Z 23.3K followers, 10.6K engagements


"Doctors keep talking about fixing healthcare. United Health Care Group and the American Hospital Association stopped talking they just bought Congress. If thats the real game lets stop pretending and play it properly. Roll tape"  
[X Link](https://x.com/DutchRojas/status/1979176206076407891) [@DutchRojas](/creator/x/DutchRojas) 2025-10-17T13:22Z 23.3K followers, 9176 engagements


"@adoptedvol Facility fee $39500"  
[X Link](https://x.com/DutchRojas/status/1979278479083672028) [@DutchRojas](/creator/x/DutchRojas) 2025-10-17T20:08Z 23.3K followers, XX engagements


"340B was designed to help the poor. Today its a profit engine for wealthy hospitals"  
[X Link](https://x.com/DutchRojas/status/1979495425586479417) [@DutchRojas](/creator/x/DutchRojas) 2025-10-18T10:31Z 23.3K followers, 4033 engagements


"Nonprofit health systems pay zero taxes. They avoid federal state and local tax. Then they sue low-income patients over medical bills. Nonprofit is just branding. Your taxes fund their monopoly and your high insurance premiums"  
[X Link](https://x.com/DutchRojas/status/1979650446936474097) [@DutchRojas](/creator/x/DutchRojas) 2025-10-18T20:47Z 23.3K followers, 11.9K engagements


"Facility fees are health system markups for existing space. Imagine paying a building fee every time you entered a grocery store"  
[X Link](https://x.com/DutchRojas/status/1980589140916785311) [@DutchRojas](/creator/x/DutchRojas) 2025-10-21T10:57Z 23.2K followers, 9604 engagements


"@RThinner @csmolecki The government is a tax on free people. It must be smaller"  
[X Link](https://x.com/DutchRojas/status/1980950221916959087) [@DutchRojas](/creator/x/DutchRojas) 2025-10-22T10:51Z 23.2K followers, XXX engagements


"Well keep up the learning. Like me you might start where you are today and then learn more and figure out a few more items Here is one item I could list more but its better for people to learn on their own. MLR only applies to fully-insured plans (smallest population of insurance)"  
[X Link](https://x.com/DutchRojas/status/1981044759738093831) [@DutchRojas](/creator/x/DutchRojas) 2025-10-22T17:07Z 23.2K followers, XX engagements


"Thank you to @MdBreathe for having me on the show. It was a blast learning about her and discussing the steps toward affordable accessible healthcare for everyone everywhere. Dr. Bowden embodies the qualities that medicine truly needs: grit grace and guts. While most remain silent she advocates fiercely for her patients and the truth"  
[X Link](https://x.com/DutchRojas/status/1981068171596431612) [@DutchRojas](/creator/x/DutchRojas) 2025-10-22T18:40Z 23.3K followers, 2403 engagements


"@barrywatts230 Fully-insured plans"  
[X Link](https://x.com/DutchRojas/status/1981319749003780429) [@DutchRojas](/creator/x/DutchRojas) 2025-10-23T11:20Z 23.2K followers, XX engagements


"An 18617% markup on a common heart medication. If a street vendor did this wed call it a scam. When a prestigious academic hospital does it we call it healthcare The logic is impeccable if youre the one selling"  
[X Link](https://x.com/DutchRojas/status/1980255432108036377) [@DutchRojas](/creator/x/DutchRojas) 2025-10-20T12:51Z 23.3K followers, 9036 engagements


"Pre-existing conditions only applied to a small sector of people. It did not apply to Medicare. It did not apply to Medicaid. It did not apply to TriCare or Champus. It did not apply to Workers Comp. It did not apply to Self-Insured Employers. It applied to 8M people. We suggested so many solutions for those 8M We have and had great ones"  
[X Link](https://x.com/DutchRojas/status/1981445363019239704) [@DutchRojas](/creator/x/DutchRojas) 2025-10-23T19:39Z 23.3K followers, XXX engagements


"@garnerbell Who is your pick for the race"  
[X Link](https://x.com/DutchRojas/status/1981644673279258781) [@DutchRojas](/creator/x/DutchRojas) 2025-10-24T08:51Z 23.3K followers, XXX engagements


"&  Advocate Health runs like a for-profit machine: FY24 operating income: $XXXXX million (up from $85.7M in 2023) Net patient revenue: $20.1B Total assets: $1.576B Surplus: $585M Their strategy . They dominate the Charlotte region and rural areas by: Employing   Owning 1400+ care sites Controlling vertical supply chains across X states 3/10"  
[X Link](https://x.com/DutchRojas/status/1939008214424522793) [@DutchRojas](/creator/x/DutchRojas) 2025-06-28T17:09Z 23.3K followers, XXX engagements


"Me on stage: Cut insurance costs by 40%. Boost revenues by 25%. Unite physicians + employers. Thats the playbook. Not consolidation. Not monopoly. Coopetition is the new playbook for American business"  
[X Link](https://x.com/DutchRojas/status/1965565391431671915) [@DutchRojas](/creator/x/DutchRojas) 2025-09-09T23:58Z 23.3K followers, 7945 engagements


"The entire U.S. healthcare system runs on one simple trick: youre not allowed to know the price. Price transparency isnt some radical new idea. Its already the law. Health Systems are just ignoring it. and Washingtons pretending thats fine. Because the second prices go public The whole $X trillion industry collapses under its own nonsense. Heres what they dont want you to know:"  
[X Link](https://x.com/DutchRojas/status/1977454187362287983) [@DutchRojas](/creator/x/DutchRojas) 2025-10-12T19:19Z 23.3K followers, 34.8K engagements


"In 2010 Congress made it illegal for doctors to open new physician-owned hospitals. Illegal. The few that existed were frozen. They cant expand beds. They cant add services. Theyre locked in place by law. Meanwhile large non profit health systems can merge buy and expand without limit. So when people say doctors should just compete understand the United States Government banned their ability to compete. That wasnt an accident. That was policy. And policy can be reversed. @cmsgov @VP @DrOzCMS @SecKennedy"  
[X Link](https://x.com/DutchRojas/status/1978145124853886992) [@DutchRojas](/creator/x/DutchRojas) 2025-10-14T17:05Z 23.3K followers, 82.8K engagements


"Healthcare coverage is not complicated. Enforce price transparency. Let prices behave like prices. Allow a free market and competition will do the rest. The United States processes XX billion individual medical services every year. Thats not a system. Thats a market waiting to be unlocked. Want to unleash investment and innovation Publish the prices and hand Silicon Valley a clean data feed for every CPT code. Within XX days wed see: Real-time price feeds and healthcare commodities exchanges 10000 new coverage models built around actual prices not mystery bills A wave of apps bundles"  
[X Link](https://x.com/DutchRojas/status/1978466863035109712) [@DutchRojas](/creator/x/DutchRojas) 2025-10-15T14:23Z 23.3K followers, 13.2K engagements


"Physicians compete with insurance companies by asking permission from the people writing the rules against them. Thats not a strategy. Thats Stockholm syndrome"  
[X Link](https://x.com/DutchRojas/status/1978934226616566219) [@DutchRojas](/creator/x/DutchRojas) 2025-10-16T21:21Z 23.3K followers, 3027 engagements


"66% of the U.S. population can thank their GOVERNORS for their sky-high insurance premiums. They are directly responsible for XX% year over year increases in insurance premiums. This is a RED state and BLUE state problem. Certificate of Need laws aka CON laws let health systems and insurers block independent medical facilities from opening. Your governor could lower your premiums maana"  
[X Link](https://x.com/DutchRojas/status/1979541095236141116) [@DutchRojas](/creator/x/DutchRojas) 2025-10-18T13:32Z 23.3K followers, 10.5K engagements


"Two doctors. Same training. Same procedure. Same result. One works for @HopkinsMedicine a prestigious we dont even fart non profit and the other owns their own clinic. Guess which is assigned higher payments for the same work Spoiler: Its not the one taking risk paying taxes and running a business. Its the tax-exempt monopoly deemed more valuable by The US Government via The centers for Medicare and Medicaid (@CMSGov) And Congress Theyre not broken. Theyre bought. 🎥 Watch this and tell me healthcare isnt rigged"  
[X Link](https://x.com/DutchRojas/status/1979660027066474569) [@DutchRojas](/creator/x/DutchRojas) 2025-10-18T21:25Z 23.3K followers, 25.9K engagements


"Nonprofit health system CEOs now average $XXX MILLION per year. The highest paid $XXX million. Total executive compensation at one system $XXXX million. But heres the kicker: CEO pay has ZERO correlation with charity care provided. Theyre paying themselves like Fortune XXX executives while enjoying tax-exempt status meant for charitable organizations. And spending millions more to put their names on baseball stadiums. Tax. Exempt"  
[X Link](https://x.com/DutchRojas/status/1980788710707777806) [@DutchRojas](/creator/x/DutchRojas) 2025-10-22T00:10Z 23.3K followers, 13.8K engagements


"American families are getting mugged in broad daylight. Youre paying double what other countries pay for the same drugs the same surgeries the same outcomes. Why Because the Congress rigged the game and both parties cashed the checks. Lets talk about what real reform looks like"  
[X Link](https://x.com/DutchRojas/status/1981443597082730971) [@DutchRojas](/creator/x/DutchRojas) 2025-10-23T19:32Z 23.3K followers, 44K engagements


"@WinnerInvestor @ToddA76401 I want to stop giving taxpayer money away"  
[X Link](https://x.com/DutchRojas/status/1981530554194677851) [@DutchRojas](/creator/x/DutchRojas) 2025-10-24T01:17Z 23.3K followers, XX engagements


"Premiums are not tied to cost. Theyre tied to what the market can bear and what regulators allow"  
[X Link](https://x.com/DutchRojas/status/1981694431305601344) [@DutchRojas](/creator/x/DutchRojas) 2025-10-24T12:09Z 23.3K followers, 3782 engagements


"Pete youre half right. It doesnt have to be like this. But its not Trumps ballroom driving premiums its the laws you defend. Congress made competition illegal and prices invisible. Thats why premiums rise no matter whos in the White House. Heres how to fix it: Repeal the physician-owned hospital ban so specialists can build and expand again. Abolish Certificate of Need laws so incumbents cant veto new competitors. Enforce site neutral payments equal pay for equal care. Fix 340B either sunset it or open it to independents. Tie nonprofit tax exemptions to audited patient-level charity care. Let"  
[X Link](https://x.com/DutchRojas/status/1982042956912640457) [@DutchRojas](/creator/x/DutchRojas) 2025-10-25T11:14Z 23.3K followers, 13.1K engagements


"@soflgrl Organization Details EIN: 59-0624458 Location: Coral Gables FL Tax-exempt since: October 1943 Type: 501(c)(3) nonprofit Category: Educational Institutions and Related Activities / University or Technological Institute"  
[X Link](https://x.com/DutchRojas/status/1982195059480039488) [@DutchRojas](/creator/x/DutchRojas) 2025-10-25T21:18Z 23.3K followers, XX engagements


"Ruben May I take a shot at helping you understand You receive donations and have become a spokesperson for Banner Health and the University of Arizona teaching hospital Arizonas largest nonprofit health system. You say youre fighting to make sure insurance premiums dont go up by hundreds or thousands of dollars. Heres how your policies make that happen: CMS the federal agency running Medicare and Medicaid does not negotiate prices. It assigns reimbursement rates based on where care is delivered. Banner Health is assigned higher rates because it is classified as a hospital or hospital"  
[X Link](https://x.com/DutchRojas/status/1974783631580160358) [@DutchRojas](/creator/x/DutchRojas) 2025-10-05T10:28Z 23.3K followers, 427.1K engagements


"Warren Buffett didnt get rich selling car insurance. He got rich by realizing that float the pile of premiums held before payouts generates returns faster than the claims ever cost. Billions sitting in reserve accounts earning market returns. Before a single claim is paid the money has already worked. Insurance discovered how to turn customer anxiety into a permanent interest-free loan. Renewable every year. And yes this is how commissions to politicians and bureaucrats are paid"  
[X Link](https://x.com/DutchRojas/status/1978251988170129669) [@DutchRojas](/creator/x/DutchRojas) 2025-10-15T00:10Z 23.3K followers, 11.5K engagements


"Insurance isnt about health; its about capital. Premiums today float tomorrow claims someday"  
[X Link](https://x.com/DutchRojas/status/1978409018373595216) [@DutchRojas](/creator/x/DutchRojas) 2025-10-15T10:34Z 23.3K followers, 5265 engagements


"Everyone thinks big academic health systems are winning because they deliver better care. Theyre not. They found a legal cheat code called 340B. Heres the play: They buy cancer drugs for half price. They bill your insurer full freight. They pocket the spread billions of dollars. And then they call it charity. Independent doctors Locked out. Same drugs. Same patients. Same CPT codes. But because they dont have a university logo they pay retail and eat the cost. @DrOzCMS @SecKennedy @NicoleShanahan @RepMTG @repkevinhern @RogerMarshallMD @VP"  
[X Link](https://x.com/DutchRojas/status/1979974854100320573) [@DutchRojas](/creator/x/DutchRojas) 2025-10-19T18:16Z 23.3K followers, 13.8K engagements


"I wish we had capitalism and free markets in healthcare Then wed have 10000+ insurance companies competing for every type of coverage imaginable. We would have 1000 apps like Expedia where we could pay cash for the XXXXX Billion commodity healthcare treatments and services. We would likely have a healthcare commodities exchange and all prices would revert to the mean. We would have outcomes data on everything"  
[X Link](https://x.com/DutchRojas/status/1980787993725268076) [@DutchRojas](/creator/x/DutchRojas) 2025-10-22T00:07Z 23.3K followers, 41.6K engagements


"BREAKING: Nation Outraged By For-Profit Healthcare While X of Top XX Health Giants Are Literally Tax-Exempt Empires WASHINGTON D.C. Americans once again expressed outrage over for-profit healthcare bravely ignoring the mildly inconvenient detail that X of the XX largest health systems in the United States are technically nonprofit which in modern healthcare is a special religious term meaning pays no taxes while building luxury towers and buying physician practices like Pokmon cards. Everyone knows greedy corporations like HCA and Tenet are the real problem said a health policy expert who"  
[X Link](https://x.com/DutchRojas/status/1981332790445588628) [@DutchRojas](/creator/x/DutchRojas) 2025-10-23T12:12Z 23.3K followers, 12.6K engagements


"Mr. Zicolello: Excellent question Why arent there compensation caps on non-profit health system executives These organizations receive significant tax advantages. Its the easiest job on the planet besides running an insurance company. And their business model has proven quite effective: acquire independent practices to benefit from higher Medicare reimbursement rates then accumulate substantial cash reserves. These reserves are then used to fund lobbying efforts that influence lawmakers and policy decisions. Lets see if we can get any answers shall we"  
[X Link](https://x.com/DutchRojas/status/1981343104063140027) [@DutchRojas](/creator/x/DutchRojas) 2025-10-23T12:53Z 23.3K followers, 4425 engagements


"They made it illegal for doctors to compare prices. Called it price fixing. Said it would hurt consumers. Then they let insurers and health systems sit in a room and set everyones prices. Called it managed care. So now: Doctors cant collaborate. Employers cant see prices. Insurers dictate payments. And the DOJ calls that competition. Did the US government nationalize collusion"  
[X Link](https://x.com/DutchRojas/status/1981367268777906232) [@DutchRojas](/creator/x/DutchRojas) 2025-10-23T14:29Z 23.3K followers, 55.3K engagements


"We dont need another replace the ACA white paper. We need to remove the rules that make competition illegal and prices invisible. 1.Repeal the physician-owned hospital ban so specialists can build and expand facilities again. 2.Abolish CON laws so incumbents cant veto their future competitors. 3.Enforce site-neutral payments equal pay for equal care. X. Fix 340B: sunset it or open it to independent practices on equal terms. 5.Tie nonprofit tax exemptions to audited patient-level charity care. 6.Let DSH UPL and GME dollars follow patients and training wherever they actually happen. Then"  
[X Link](https://x.com/DutchRojas/status/1981538767006503190) [@DutchRojas](/creator/x/DutchRojas) 2025-10-24T01:50Z 23.3K followers, 69.3K engagements


"THE CASE AGAINST NONPROFIT UHEALTH (UNIVERSITY OF MIAMI HEALTH SYSTEM) Exhibit A: Tax Status 501(c)(3) since 1943. Pays no federal income tax on $XXXX billion in annual revenue. Pays no state income tax in Florida. Pays no property tax on billions in real-estate holdings. Files Form 990-T only for trivial unrelated business income. Verdict: Structural tax immunity. No shareholders. No taxes. Just surplus. Exhibit B: Public Benefit vs. Private Gain $XXX billion in revenue $XXX billion in assets $XXXX million to executives (CEO/COO) $X in federal state or property taxes Not-for-profit is the"  
[X Link](https://x.com/DutchRojas/status/1982036617469505573) [@DutchRojas](/creator/x/DutchRojas) 2025-10-25T10:48Z 23.3K followers, 78.3K engagements


"When Medicare overpays commercial insurers typically follow those rates. Large systems then use that excess revenue to acquire independent practices across South Florida. Those independent practices used to take on financial risk pay property and income taxes and compete on price. Once acquired they bill at significantly higher rates under the larger systems contracts while the parent organization maintains nonprofit status. The result Higher premiums for families a smaller tax base for communities and more glass towers. Im not suggesting anyone refuse private investment. Im asking for a more"  
[X Link](https://x.com/DutchRojas/status/1982167433990570246) [@DutchRojas](/creator/x/DutchRojas) 2025-10-25T19:28Z 23.3K followers, 3173 engagements


"Frank Youre accusing physicians of being criminals who have a deep desire to commit Medicare fraud. Those are the same people who diagnose cut suture and save lives are too untrustworthy to own the buildings they work in. Is it also your thesis that lawmakers MBAs private-equity firms and nonprofit executives who never touched a patient in their lives theyre the moral compass of American healthcare Give me a break. Before the ACA banned physician-owned hospitals CMS found: Lower costs Higher quality Fewer readmissions Higher patient satisfaction The only thing they threatened was the monopoly"  
[X Link](https://x.com/DutchRojas/status/1982220279540576546) [@DutchRojas](/creator/x/DutchRojas) 2025-10-25T22:58Z 23.3K followers, 6602 engagements