The Rojas Report

A Virginia physician was denied permission to buy a second MRI machine for his own practice. The court upheld it. In America you need government approval to purchase medical equipment with your own money. Free market.

UPMC issued $1.6 billion in new bonds after two consecutive years of operating losses. Moody’s rated it “stable.” Stable like a house fire that hasn’t reached the second floor yet. #the-data" target="_blank" rel="nofollow noopener">academic.rojasreport.com/#the-data

For 40 years AMCs borrowed against one argument: you can’t train a surgeon without our building. Robotics and AI just decoupled skill from square footage. The buildings remain. The argument doesn’t.

Robert Trestman tops the AHA board with 27 red flags. Twenty-seven. Most people get fired for one. In hospital governance, they give you a board seat and a dossier nobody reads. Until now.​​​​​​​​​​​​​​​​ aha.rojasreport.com/profiles/trest…

The Chairman of Ways and Means took $592K in healthcare money last cycle. His top donors include Amgen, AHIP, Aetna, and the AHA. But sure, he’s focused on “market-based reforms.” Nice work Missouri. waysandmeans.rojasreport.com/member/jason-s…

The AHA spends $29 million a year lobbying Congress. Their board has 27 members. Average red flag count: 13. That’s not a trade association. That’s a Rojas style cartel with a 501(c)(3).

RT @BillsPills: AHA - Aggressively Hostile Actions? Against Honest Answers? Absolutely Horrible Actors? NEVER putting the patient first -…

The real villains of healthcare are not the doctors who won't write your preferred script without confirming your self-diagnosis.

@sterlingkoonce Yes! 👏

@TheRojasReport Disgusting. Rural areas need private practice and it can’t happen if it’s not profitable. Site neutral payments are common sense.

The AHA blocked $140 to $180 billion in site-neutral payments. That’s money that would have lowered costs for patients. They called it “protecting access.” Wall Street calls it margin preservation.

Illinois has a CON law that sunsets in 2029. Blue Cross controls 97% of the HMO market. Three years to go. Want to bet the incumbents find a way to extend it? The sun never sets on a monopoly that writes the checks.​​​​​​​​​​​​​​​​ rojasreport.com/illinois/certi…

Montefiore serves the poorest congressional district in America. Its CEO Philip Ozuah has 25 red flags. The word “nonprofit” is doing a lot of heavy lifting there. aha.rojasreport.com/profiles/ozuah/

The federal government repealed the CON mandate in 1987 after concluding it didn’t work. 35 states kept the law anyway. Not because it works. Because it pays.

CommonSpirit Health gave Greg Murphy $55,500. CommonSpirit is a “nonprofit.” Murphy is supposed to oversee them. In Washington this isn’t a conflict of interest. It’s a business model. waysandmeans.rojasreport.com/member/greg-mu…

NYU Langone made $14.2 billion last year. Paid its former CEO $22.8 million. Spent less than half the national average on charity care. Sent a nurse to the AHA board instead of the CEO. Even the representation is a facility fee.

Three hospital systems control 100% of Louisville’s inpatient market. Prices hit 354% of Medicare. The state scored 100 out of 100 on the CON restrictiveness index. A perfect score for a perfect monopoly. rojasreport.com/kentucky/certi… @GovAndyBeshear @KYSenateGOP @RandPaul

@ch_elle_ They reduce competition and increase top line revenues for health systems and carriers.

@TheRojasReport Yes - what purpose do they serve?

A Virginia physician was denied permission to buy a second MRI machine for his own practice. The court upheld it. In America you need government approval to purchase medical equipment with your own money. Free market.

@arghhhhhhhhh92 @mouthnose34 Complete misunderstanding by 99% of the public. The AHA, AMA, and FAH have been excellent assassins.

@mouthnose34 @TheRojasReport Notice how physicians are being accused of both withholding resources (imaging, labs) while simultaneously being accused of pushing labs and imaging on patients. The contradiction is jarring and merely a construction of jealousy and anti-physician dogma.

These two physicians pack a punch! We love the new podcast!

States that repealed CON saw ASCs per capita jump 44 to 47%. Rural ASCs jumped 92 to 112%. Hospital charges dropped 5.5% in five years. The data isn’t ambiguous. The silence is intentional.

The AHA’s General Counsel clerked for Justice Stevens, worked at DOJ, then made partner at Munger Tolles. Now he protects hospital tax exemptions for a living. The pipeline isn’t broken. It’s plumbing. aha.rojasreport.com