In this episode, Dutch Rojas talks with Dr. Sandeep “Dr. Deep” Palakodeti about the financial engine running American healthcare — and the part nobody sees.

Academic health systems break even on Medicare. They lose money on Medicaid.

And they make their profits on one thing: commercial insurance paid by employers.

That means employers and employees are subsidizing the entire healthcare system, and it’s the real reason premiums keep rising.

Dutch and Dr. Deep go deep into:

• Why commercial premiums are the lifeblood of large health systems

• Why catastrophic coverage disappeared

• How ACA rules locked consumers out of affordable plans

• Why employers tolerate 12–20% annual increases

• Why social media feels insane

• Longevity, VO2 max, and living to 120+

• Sleep, muscle loss, and decline

• Medicine 3.0 vs Medicine 2.0

• The model behind Velocity Health Clinic

• Why physician-led care is the only credible path forward

• What policy changes matter in the next 6–12 months

This is a practical, honest, wide-ranging conversation about health, policy, longevity, and the economic incentives shaping American medicine.

New episodes weekly on The Rojas Report.

CONNECT WITH DR. DEEP
Velocity Health: www.velocityhealth.com
X: @DrDeepMD
LinkedIn: https://www.linkedin.com/in/sandeep-palakodeti-md-mph-1b03436a
CONNECT WITH DUTCH / THE ROJAS REPORT
X: @DutchRojas
LinkedIn: linkedin.com/in/dutchrojas
YouTube: @dutchrojas
Substack: dutchrojas.substack.com

healthcare, premiums, employers, insurance, Dr Deep, Sandeep Palakodeti, Dutch Rojas, Rojas Report, Velocity Health, longevity, Medicine 3.0, preventative care, healthcare reform, VO2 max, catastrophic coverage, health policy

Support the show

If you want to support these efforts, Buy Dutch a Cigar, connect via socials, or collaborate, visit:

👉 Stan.Store/DutchRojas