The Rojas Report
The Rojas Report with Dutch Rojas cuts through the noise in American healthcare.
From policy fights in Washington to the boardrooms of venture-backed startups, Dutch brings physicians, investors, and entrepreneurs into real conversations about money, power, and independence in medicine.
Expect sharp takes on healthcare policy, candid talks with startup founders, and even the occasional cigar-fueled debate about where the system is headed next.
If you care about the future of healthcare, and who really gets to shape it, this is your show.
The Rojas Report
Dutch Rojas: The $24 Billion Medicaid Heist
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Seven states found a loophole to extract $24 billion annually from federal taxpayers while contributing nothing to Medicaid. California alone took $13 billion. The scheme was technically legal until January 29, 2026.
Dutch Rojas breaks down:
- The 157-to-1 tax ratio California used to game the system ($274/month for Medicaid plans vs. $1.75/month for commercial)
- How states used the B1/B2 statistical test as a "lockpick" for the federal treasury
- Why New York got a shorter deadline than other states (they were warned and did it anyway)
- The $13 billion hole in California's budget starting 2028
- Why your insurance premiums went up to subsidize this scheme
- What CMS Administrator Dr. Mehmet Oz did to shut it down
The winners: California, New York, Massachusetts, Michigan.
The losers: Federal taxpayers. You.
The scheme is over. Until they find the next one.
Read the full investigation: dutchrojas.substack.com
X: @DutchRojas
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