Kentucky.
Three hospital systems control 100% of Louisville’s inpatient market.
Prices reach 354% of Medicare rates.
CON law: enforced.
Competition: illegal.
https://t.co/gQP1xO4YVr
@RandPaul@RepThomasMassie@GovAndyBeshear
How I explain Prior Auth:
You order 20 nuggets at McDonalds.
You pay at the 1st window
You get to the 2nd window & the worker says “you look like you only need 10 nuggets”
So they give you 10.
Then you pull to the 3rd window, argue w/ the manager for 3hrs & you get 2 more🐓
🔥 The Dutch Rojas Manifesto:
Taking Healthcare Back 🔥
For too long, bureaucrats, health system executives, bankers. and insurance have dictated the terms of healthcare and health benefits coverages. They set the prices. They control the contracts. They own the doctors.
Independent physicians, employers, and patients must fight for a system that works for them—not against them.
Here’s how we take back control:
𝗧𝗵𝗲 𝟭𝟬 𝗥𝘂𝗹𝗲𝘀 𝗳𝗼𝗿 𝗜𝗻𝗱𝗲𝗽𝗲𝗻𝗱𝗲𝗻𝘁 𝗠𝗲𝗱𝗶𝗰𝗶𝗻𝗲
1️⃣ Physicians are NOT “providers.”
The only people who use that term want to replace you with a massage therapist. a chatbot, or a corporate protocol. You are a doctor—say it with your chest.
2️⃣ Health systems must NOT own doctors.
Every time a health system buys a private practice, care gets worse and prices go up. This isn’t about “care coordination.” It’s about consolidation and control.
3️⃣ Employers must NOT overpay for garbage healthcare.
They don’t accept hidden fees in any other part of business. So why do they tolerate them in healthcare? Time to end the scam.
4️⃣ Physician-owned hospitals = lower costs, better care.
Economics 101: More supply = lower prices. The government bans new physician-owned hospitals because they work too well. End the ban. Unleash competition.
5️⃣ PBMs and insurers are legalized rackets.
They don’t “reduce costs.” They extract unearned revenues. The only reason they exist is because Washington is in on it.
6️⃣ Healthcare “nonprofits” are just tax-exempt hedge funds.
The biggest “charitable” health systems make billions while suing patients and dodging taxes. Their CEOs get rich while patients get collections notices.
7️⃣ Site-neutral payments must happen NOW.
Why should a health system-owned facility get paid double for the exact same service an independent physician provides? It’s a scam, and it’s costing Americans billions.
8️⃣ Direct contracting is the future.
Employers and physicians must be able to work together without an insurance company skimming off the top. SurgeryForward contracts lock in prices and eliminate middlemen.
9️⃣ Data belongs to physicians and patients.
Health systems and insurers hoard medical data to keep patients locked in their system. Own your records. Own your prices. Own your freedom.
🔟 The Independent Physician Revolution starts NOW.
If you’re a doctor, employer, or patient who’s sick of the lies, the grift, and the rising costs—it’s time to break the cartel.
🚨 If you believe in this, share it.
👊 If you’re in this fight, follow me.
⚡ If you’re a health system executive, an insurance CEO, or a bureaucrat trying to kill private practice—good luck. You’re on the wrong side of history.
-Rojas out
UPDATE: I hear that this process has been moving along this month, per numerous sources I've talked to on this matter.
It is believed that, at a recent coaching convention and via a recent conference call, during the month of January that further progress has been made.
Most sources I've spoken to believe that 2026-27 is when these changes would be put into place, although I don't yet know for a fact that 2025-26 has been ruled out.
The belief I've heard is that there was a recent vote on a conference call that included All ACC and Big 10 men's soccer programs to move forward with leaving the NCAA and joining the professional ranks.
Numerous sources have mentioned that many top programs are already starting to plan in a way that recognizes this coming shift.
This move would be with the backing of US Soccer Federation and this is a move to professionalize college soccer. The season would be 9-10 months long.
Speculation is that USL League One offered these programs the chance to join their league structure as professional teams, while MLS has been pushing back on this idea to USSF because they believe this move could hurt the place of their development league, MLS Next Pro, within in the professional pyramid.
Where exactly these college programs would fit in the pro pyramid is not yet clear after the discussions I've had on this matter.
Questions are swirling about exactly which programs will be involved. The answer varies, depending on who you talk to. As best as I can ascertain, no one really doubts that the ACC and Big 10 programs are on board.
Beyond that, my belief is that there are other programs, but it is not all of D1 Mens College Soccer at this point.
Some will tell you traditional power 4 conference sports schools, others say top 40-50 college soccer programs, others believe it's not split as much on prestige lines and is more a case by case basis outside of those two conferences.
Sources have mentioned that the process is chaotic and fluid, and a lot of the exact details, such as which programs are on board, is ever-changing.
There's also the likelihood of realignment of conferences in Division 1 Mens College Soccer if the professional ranks takes a segment of the programs and others end up staying.
The big picture is that there continues to be optimism that at least a sizable segment of the top men's college soccer programs are going to break away from the NCAA and professionalize in the next year or two.
A look at what the rev-share MOU Big Ten schools are using with athletes looks like.
While the agreement uses language to try & avoid creating an employment relationship, its terms coupled with the amount of control schools exercise over athletes likely makes that unavoidable.
Man United's starting eleven the last time they beat Liverpool at Anfield in January 2016.
It's almost been nine years since they last won away at Liverpool 😮
🏈 NFL Alt Lines Parlay.
Three of my favorite players today, with their lines slightly watered down.
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21+ Only.
CardNation - How many @GoCards fans can we get to Freedom Hall on Saturday night?? 12k, 13k, 14k…..
@LouisvilleVB is one win away from a @NCAAVolleyball Final Four appearance at the @kfc_yumcenter. They need you Saturday night!!
#GoCards