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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, money, $ci, university of 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 +306%
- X Months XXXXXXXXX -XX%
- X Year XXXXXXXXXX +567%

### 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 +27%
- X Month XXX +48%
- X Months XXX +28%
- X Year XXXXX +191%

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

- X Week XXXXXX +1.40%
- X Month XXXXXX +8.30%
- X Months XXXXXX +14%
- X Year XXXXXX +48%

### 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)  #5763 [stocks](/list/stocks)  XXXX% [countries](/list/countries)  XXX% [travel destinations](/list/travel-destinations)  XXX% [celebrities](/list/celebrities)  XXXX% [technology brands](/list/technology-brands)  XXXX% [cryptocurrencies](/list/cryptocurrencies)  XXXX%

**Social topic influence**
[insurance](/topic/insurance) #140, [money](/topic/money) 5.19%, [$ci](/topic/$ci) #31, [university of](/topic/university-of) #282, [monopoly](/topic/monopoly) 1.3%, [$unh](/topic/$unh) #144, [$905m](/topic/$905m) #2, [investment](/topic/investment) 1.3%, [united states](/topic/united-states) 1.3%, [affordable](/topic/affordable) #427

**Top accounts mentioned or mentioned by**
[@jazzdeeapple](/creator/undefined) [@jh336405](/creator/undefined) [@realdocspeaks](/creator/undefined) [@aoc](/creator/undefined) [@drozcms](/creator/undefined) [@cmsgov](/creator/undefined) [@cheerwhine1](/creator/undefined) [@seckennedy](/creator/undefined) [@rjpilkington](/creator/undefined) [@shamitsdesai](/creator/undefined) [@repkevinhern](/creator/undefined) [@mtgreenee](/creator/undefined) [@heathveuleman](/creator/undefined) [@andrewherkert](/creator/undefined) [@sayhibill](/creator/undefined) [@mass_marion](/creator/undefined) [@trekdocfan](/creator/undefined) [@real_dr_mudgil](/creator/undefined) [@jasantono](/creator/undefined) [@fixcarehealth](/creator/undefined)

**Top assets mentioned**
[Cigna Corp (CI)](/topic/$ci) [UnitedHealth Group (UNH)](/topic/$unh) [Costco Wholesale Corporation (COST)](/topic/costco) [CVS Health Corp (CVS)](/topic/cvs) [Bitcoin (BTC)](/topic/bitcoin)
### Top Social Posts [#](/creator/twitter::475043222/posts)
---
Top posts by engagements in the last XX hours

"Only in Bernie Sanders home state can maple syrup move more freely than medicine. You can bottle syrup tonight and sell it tomorrow. But try opening a radiology center and youll have to beg the Green Mountain Care Board which exists to protect the University of Vermont Health Network not patients. Vermont boasts one of the top XX highest insurance premiums in America. Bernie rails against corporate greed but the state he helped shape runs one of the most protectionist healthcare regimes in the country. Patients wait. Independent doctors are blocked. Monopolies get richer. In Vermont syrup"  
[X Link](https://x.com/DutchRojas/status/1980478307125571852) [@DutchRojas](/creator/x/DutchRojas) 2025-10-21T03:36Z 23.1K followers, 14.2K 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 23K followers, 6343 engagements


"Im usually the first person to smash any so called "healthcare expert" who doesnt understand how healthcare actually works. This weekend was no exception. I eviscerated several Democratic senators including Senator Gallegos of Arizona whose response was charitably pathetic. But this isn't about Democrats. It's about Republicans specifically @willchamberlain who as a self-proclaimed free-market capitalist should know the Republicans have done nothing to fix what's broken. Case in point: since taking office @drozcms has been photographed eating cake with Martha Stewart while ignoring every"  
[X Link](https://x.com/DutchRojas/status/1975328263548318164) [@DutchRojas](/creator/x/DutchRojas) 2025-10-06T22:32Z 23K followers, 52.3K engagements


"Heres a fun party trick: ask ten Americans whether we have free market healthcare and watch nine confidently say yes. Then show them this: - Employer Coverage: 160M Americans - Medicare: 67M (seniors + disabled) - Medicaid / CHIP: 72M (low-income + kids) - ACA Marketplace: 21M enrolled - Military / VA: 9M - Uninsured / Other: 25M I know what youre thinking: But Dutch employer coverage is private Is it though Last I checked employers receive a massive tax deduction for buying your health insurance a subsidy so large that if we removed it tomorrow the entire system would collapse by next"  
[X Link](https://x.com/DutchRojas/status/1976265397302165796) [@DutchRojas](/creator/x/DutchRojas) 2025-10-09T12:36Z 23K followers, 28.8K engagements


"Employers who self-fund and bypass insurers unlock 2040% savings instantly. The barrier isnt math its courage"  
[X Link](https://x.com/DutchRojas/status/1976620985827610950) [@DutchRojas](/creator/x/DutchRojas) 2025-10-10T12:09Z 23K followers, 22.8K engagements


"When an independent doctor makes money its called greed. When a St. Health System CEO makes $12M at a nonprofit its called mission alignment"  
[X Link](https://x.com/DutchRojas/status/1977511349971280260) [@DutchRojas](/creator/x/DutchRojas) 2025-10-12T23:07Z 23K followers, 17.2K engagements


"Show me one Democrat Leader who has apologized for lying about the ACA. Keep your doctor. Lie. Keep your plan. Lie. Premiums will drop. Lie. They sold it like a Costco membership and vanished when it blew up. Roll the tape:"  
[X Link](https://x.com/DutchRojas/status/1977512405950484974) [@DutchRojas](/creator/x/DutchRojas) 2025-10-12T23:11Z 23K followers, 38.2K engagements


"President Obama said: If you like your plan you can keep it. Translation: St. Health Systems and insurers would redesign your plan until you didnt recognize it then cancel it and call it compliance"  
[X Link](https://x.com/DutchRojas/status/1977545322634088937) [@DutchRojas](/creator/x/DutchRojas) 2025-10-13T01:22Z 23K followers, 3688 engagements


"Dear Virginia President Obama was right about one thing: Your health premiums are high because the game is rigged. Republicans kept them high. Democrats kept them high. Different bumper stickers. Same scam. Heres the trick: a law called Certificate of Need or CON (Perfect name). CON says: if doctors want to open a surgery center that charges $XXX instead of $4000 they have to ask the State of Virginia for permission. And guess who is in charge Health Systems and insurance carriers. Its like asking McDonalds if you can open a Chick-fil-A next door. Theyll say no. With fries. These health"  
[X Link](https://x.com/DutchRojas/status/1979274868978766195) [@DutchRojas](/creator/x/DutchRojas) 2025-10-17T19:54Z 23K followers, 23.7K engagements


"Theres a moment when companies stop competing to be better and start competing to control the game itself. When innovation takes a back seat to influence and serving customers gives way to serving Congress. Thats when markets stop being free and start being owned. Because once legislation becomes the product the company with the best lobbyist will always beat the one with the best doctor. And in American healthcare the biggest players the nonprofits the insurers arent saving lives anymore. Theyre protecting their empires. Welcome to the new economy of health. Im Dutch Rojas. Lets talk about it"  
[X Link](https://x.com/DutchRojas/status/1979298978496762114) [@DutchRojas](/creator/x/DutchRojas) 2025-10-17T21:30Z 23K followers, 2675 engagements


"@rrbrussell Its not this its that but not that this. Wait it is that then again this"  
[X Link](https://x.com/DutchRojas/status/1979513889185493105) [@DutchRojas](/creator/x/DutchRojas) 2025-10-18T11:44Z 23K followers, XX engagements


"When its 2:30am and my brain is awake and my body is tired"  
[X Link](https://x.com/DutchRojas/status/1979797286676029473) [@DutchRojas](/creator/x/DutchRojas) 2025-10-19T06:30Z 23K followers, 1085 engagements


"@Drpranavsharma @shamitsdesai @linemonkeymd @OpenAI @GeBaiDC @DrDiGiorgio @drdanchoi @mcuban @MStempniak @mtgreenee 🔥🔥🔥🔥🔥"  
[X Link](https://x.com/DutchRojas/status/1979966997040341381) [@DutchRojas](/creator/x/DutchRojas) 2025-10-19T17:44Z 23K followers, XX engagements


"@mass_marion @HopkinsMedicine 🤣😂🤣😂🤣😂"  
[X Link](https://x.com/DutchRojas/status/1979975538149097733) [@DutchRojas](/creator/x/DutchRojas) 2025-10-19T18:18Z 23K followers, XXX engagements


"@conanicus_ Its a filthy world and responsible for the murder of hundreds of millions. And if you dont like what I have to say change the channel"  
[X Link](https://x.com/DutchRojas/status/1980644662852641053) [@DutchRojas](/creator/x/DutchRojas) 2025-10-21T14:37Z 23K followers, X 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 23.1K followers, 7939 engagements


"Reform begins the moment physicians stop asking permission"  
[X Link](https://x.com/DutchRojas/status/1974577014087540872) [@DutchRojas](/creator/x/DutchRojas) 2025-10-04T20:47Z 23.1K followers, 5124 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 23.1K followers, 6233 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 23.1K followers, 34.7K engagements


"Americans dont have a for-profit healthcare system. They have a nonprofit cartel a network of tax-exempt health systems protected by regulation by politicians backed by subsidies and shielded from competition. If Americans were actually free to use physician-owned hospitals heres what would happen: Premiums would drop. Outcomes would improve. Innovation would explode. And the nonprofit monopolies would finally face something theyve never had to deal with: competition. The data is public. The studies are available. The literature is free. The only thing missing is agency the decision to stop"  
[X Link](https://x.com/DutchRojas/status/1978412140965875972) [@DutchRojas](/creator/x/DutchRojas) 2025-10-15T10:46Z 23.1K followers, 26.4K 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 23.1K followers, 3021 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 23.1K followers, 10.5K engagements


"Why do nonprofit health systems get to: Write off losses as charity care Collect DSH UPL 340B and GME bonus money Pay zero federal taxes zero state taxes zero property taxes Issue tax-free bonds and call it community mission while independent physicians treating Medicaid patients at a loss get nothing not even a deduction If you can explain that without hiding behind platitudes Im all ears. If not just admit it clearly: Youre not protecting the poor. Youre protecting the St. Cartel"  
[X Link](https://x.com/DutchRojas/status/1979899108362944661) [@DutchRojas](/creator/x/DutchRojas) 2025-10-19T13:15Z 23.1K followers, 8034 engagements


"@Miessy4 @RCMDGO This is completely false. The US government has kept thousands of insurqnce companies from opening just like they have with hospitals. Please go to the library and pick up any book on economics"  
[X Link](https://x.com/DutchRojas/status/1979934413711401130) [@DutchRojas](/creator/x/DutchRojas) 2025-10-19T15:35Z 23.1K followers, XX 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 23.1K followers, XX engagements


"5/ And then theres UnitedHealth (UNH): The Death Star. $XXX $XXX Down XX% YTD DOJ fraud probe (criminal) Accused of leveraging Optum to rig MA billing Lets investigate the lobbyists too This is institutional failure at its peak"  
[X Link](https://x.com/DutchRojas/status/1949235478370136423) [@DutchRojas](/creator/x/DutchRojas) 2025-07-26T22:28Z 23.1K followers, 11.5K engagements


"6/ Elevance Also down XX% from its 2023 peak. This is a model that was built on lies. Opaque billing political dependence monopoly behavior fake savings. Everyone played along until the music stopped"  
[X Link](https://x.com/DutchRojas/status/1949235482338136258) [@DutchRojas](/creator/x/DutchRojas) 2025-07-26T22:28Z 23.1K followers, 10.2K 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 23.1K followers, 13.8K engagements


"Nonprofit is the most profitable business model ever invented. Just ask AARP. For nearly three decades AARP has positioned itself as the advocate for Americas seniors. But peel back the curtain and the picture looks very different. In 2023 AARP collected $905M in royalties from insurancenearly all from UnitedHealthcare. Thats XXXX% of every premium dollar their members pay. Seniors believe their $XX membership fee funds advocacy. In reality it funds a machine that funnels millions of members into UnitedHealthcare products. The result Higher costs twice the denial rates and seniors locked into"  
[X Link](https://x.com/DutchRojas/status/1971308989418807683) [@DutchRojas](/creator/x/DutchRojas) 2025-09-25T20:21Z 23.1K followers, 24K engagements


"Everyone loves blaming the big insurance companies. Insurers deny care is the rallying cry. Here are the hard Dutch facts: for XXX million Americans with employer health benefits thats flat-out wrong. Its not Aetna Cigna or Uncle Sam stamping DENIED on your claim. Its your employer. Your HR department and CFO are the real gatekeepers choosing the plan carving out benefits and quietly deciding which bills get paid and which dont. The insurer aka the ASO is just a middleman in a rented logo. So when youre screaming at UnitedHealthcare youre actually yelling at the wrong party. If you want"  
[X Link](https://x.com/DutchRojas/status/1973133839523340339) [@DutchRojas](/creator/x/DutchRojas) 2025-09-30T21:12Z 23.1K followers, 10.7K 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 23.1K followers, 426.6K 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 23.1K followers, 41.8K engagements


"Big thanks to @mtgreenee for sharing my video on the real challenges facing the Affordable Care Act and how free market principles can actually solve them. Her platform reaches far beyond mine and Im grateful to spread this message further. For two weeks not a word from many who claim to support free markets while progressive voices have dominated the conversation. That has to change. If we truly believe in capitalism and competition we need to understand how markets work and how regulation and opacity keep them from growing. The number one issue in healthcare today is price transparency."  
[X Link](https://x.com/DutchRojas/status/1977417633835205014) [@DutchRojas](/creator/x/DutchRojas) 2025-10-12T16:54Z 23.1K followers, 22.7K engagements


"Health insurance premiums in America could start dropping by Wednesday. Not someday. Not after the next election. Today is Monday By this Wednesday it could be done All it would take is CMS changing one rule:"  
[X Link](https://x.com/DutchRojas/status/1977797472324829348) [@DutchRojas](/creator/x/DutchRojas) 2025-10-13T18:03Z 23.1K followers, 33.2K 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 23.1K followers, 82.6K engagements


"Nonprofit is the most profitable business model ever invented. Just ask @AARP For nearly three decades AARP has positioned itself as the advocate for Americas seniors. But peel back the curtain and the picture looks very different. In 2023 AARP collected $905M in royalties from insurancenearly all from UnitedHealthcare. Thats XXXX% of every premium dollar their members pay. Here is a post I did X weeks ago The grift continues"  
[X Link](https://x.com/DutchRojas/status/1978209612500221952) [@DutchRojas](/creator/x/DutchRojas) 2025-10-14T21:21Z 23.1K followers, 20.3K 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 23.1K followers, 11.5K 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 23.1K followers, 12.9K engagements


"And this is why we talk about healthcare premiums daily Health insurance premiums must be reformed. Putting more subsidies on our children and childrens children"  
[X Link](https://x.com/DutchRojas/status/1978573053027053608) [@DutchRojas](/creator/x/DutchRojas) 2025-10-15T21:25Z 23.1K followers, 2176 engagements


"Dear @AOC: I watched your video. You want healthcare to be affordable and accessible for everyone everywhere. May I ask a few questions Why does your area of New York make it illegal for physicians to build new hospitals surgery centers radiology centers urgent cares and nursing homes unless the existing health systems give permission through CON laws Why do you support closing hospitals while banning independent physicians from opening new ones Why do you support paying NYU Langone Columbia and the other nonprofit health systems 23X more per procedure than the tax-paying doctor down the"  
[X Link](https://x.com/DutchRojas/status/1978814616424808808) [@DutchRojas](/creator/x/DutchRojas) 2025-10-16T13:25Z 23.1K followers, 52.1K 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 23.1K followers, 42.1K 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 23.1K followers, 9103 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 23.1K followers, 3940 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 23.1K followers, 11.8K 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 23.1K followers, 25.8K engagements


"Want to save on drugs and pharmacy benefits Too bad. Non profit health systems get discounts through the 340B program then bill full price and keep the difference. Patients save nothing. Independent clinics get nothing. Another hidden tax on the sick"  
[X Link](https://x.com/DutchRojas/status/1979664790176797164) [@DutchRojas](/creator/x/DutchRojas) 2025-10-18T21:44Z 23.1K followers, 8002 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 23.1K followers, 13.7K engagements


"@josonenine @brian_lecher @real_dr_mudgil @realdocspeaks @AndrewHerkert @HealthLeaders @sayhibill @HeathVeuleman @Cigna 🔥🔥🔥🔥🔥🔥"  
[X Link](https://x.com/DutchRojas/status/1980072655974695381) [@DutchRojas](/creator/x/DutchRojas) 2025-10-20T00:44Z 23.1K 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 23.1K followers, 8996 engagements


"Who Pays. Who Gets Paid. Independent doctors pay taxes sign personal guarantees put up collateral and are told theyre for-profit said like an accusation. Nonprofit health systems pay no taxes collect subsidies issue tax-exempt bonds and then use that money to buy the doctors who funded them. Result = wealth transfer disguised as morality. The Story Problem Weve been sold the wrong narrative. Nonprofit has become a marketing advantage disconnected from actual behavior. The label was meant to signal community service. But when its used primarily as a financial tool to consolidate power and"  
[X Link](https://x.com/DutchRojas/status/1980403155448877127) [@DutchRojas](/creator/x/DutchRojas) 2025-10-20T22:38Z 23.1K followers, 5621 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 23.1K followers, 9325 engagements


"If only we designed healthcare the way we designed IKEA instructions clear pictorial and universally understandable. Instead we hand people 80-page PDFs in 8-point font with words like actuarial equivalent tier variance. Meanwhile: - XX% of U.S. adults read below an 8th-grade level. - XX% may struggle to read an introductory email. Now imagine them trying to figure out if their kids inhaler is covered under a high-deductible plan with an HSA. The US healthcare system was not designed for humans it was built it for lawyers actuaries and consultants then wondered why people didnt engage (maybe"  
[X Link](https://x.com/DutchRojas/status/1980598949850263954) [@DutchRojas](/creator/x/DutchRojas) 2025-10-21T11:36Z 23.1K followers, 3045 engagements


"Deductibles co-insurances preauthorizations and copays are the most vile bullshit from the pit of hell. The deductible problem isnt complicated its already solvable. Washington just refuses to pull the easy lever. A few policy tweaks a week of work and deductibles could drop like a bad IPO. Employers They couldve fixed this years ago. Some have. Most employers outsourced the problem to brokers and benefit consultants and surprise it never got solved. If either group had done their jobs almost no American would have high premiums much less deductibles or co-pays"  
[X Link](https://x.com/DutchRojas/status/1980647494301413858) [@DutchRojas](/creator/x/DutchRojas) 2025-10-21T14:48Z 23.1K followers, 8713 engagements


"@Epi_An I want lower prices"  
[X Link](https://x.com/DutchRojas/status/1980764428162248835) [@DutchRojas](/creator/x/DutchRojas) 2025-10-21T22:33Z 23.1K followers, XX 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 23.1K followers, 24.2K 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 23.1K followers, 8048 engagements


"@X0_1_7ex I am not the judge of anyone. I can point out the facts. JP Morgan generates more cash deploying float than any other bank. BerkshireREs float has grown significantly"  
[X Link](https://x.com/DutchRojas/status/1980826517635727699) [@DutchRojas](/creator/x/DutchRojas) 2025-10-22T02:40Z 23.1K followers, XX engagements


"@preacherDaddyO I mined bitcoin in 2011 and 2012. Im good"  
[X Link](https://x.com/DutchRojas/status/1980829923855200726) [@DutchRojas](/creator/x/DutchRojas) 2025-10-22T02:53Z 23.1K followers, XXX 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 23.1K 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 23.1K followers, 1662 engagements