$5 trillion.
That’s what we spent on healthcare in 2024.
But only $1 trillion went to the people who actually deliver care—your surgeon, your physician, your nurse.
The other $4 trillion?
It fed a machine.
A machine built on code words: “access,” “equity,” “safety,” “value.”
But behind those words sits a cartel of rent-seekers, consultants, and credentialed bureaucrats.
They don’t deliver care.
They just get paid every time you try.
Exhibit A: The ACIP Scam
When RFK Jr. was appointed to oversee the nation’s vaccine policy, many cheered, he was supposed to challenge Big Pharma.
Instead, he sat down at the same table.
In our recent thread on RFK Jr., we exposed how ACIP, the committee that determines the U.S. vaccine schedule, is filled with individuals employed by the very institutions that profit from every new dose added to that schedule.
There’s not a single independent physician on that panel.
No one from a private clinic.
No one representing patients.
Just institutional insiders protecting their funding streams.
RFK promised disruption.
What we got was an audition for the next season of Yes Minister.
Exhibit B: UCLA Health and the Medicaid Bonus Game
Take a guess who gets paid more for seeing a Medicaid patient:
An independent physician in a solo office
A multi-billion-dollar nonprofit health system with a hedge fund attached
If you guessed the latter, you’re starting to understand how this game is played.
In our UCLA Health exposé, we revealed how nonprofit systems collect hundreds—sometimes thousands—of dollars per visit, boosted by DSH bonuses, 340B markups, and Medicaid supplemental payments.
Meanwhile, the independent doc gets $42.17 and a pat on the back.
That’s not “value-based care.”
That’s a rigged financial engine, hiding behind the halo of nonprofit status.
So What Now? Rebuilding from the Outside
You can’t optimize dysfunction.
You have to build something different.
That’s why companies like Savvos Health matter.
They’re not trying to “work with the system.”
They’re bypassing it, building physician-first marketplaces where patients pay transparent prices and independent doctors get paid directly.
In our latest episode of The Rojas Report, we break it all down:
Why the current system is unsalvageable
How direct contracting flips the power dynamic
And what a real alternative looks like
Here is the link to the full episode:
No RCM, No Grift: How Savvos Health Is Replacing the Worst Part of U.S. Healthcare
Let’s be honest: revenue cycle management (RCM) is a polite term for something broken. It’s the bureaucratic tumor attached to every medical bill—growing more metastatic every year. Entire empires no…
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