Dutch Rojas Profile picture
May 15 10 tweets 4 min read Read on X
UnitedHealth just lost $288 billion.

The CEO vanished.
The DOJ is circling.

But sure, tell me again how “essential” they are.

A thread 🧵on the implosion of America’s biggest health insurer @UHC —and what it says about our system:
[1/] Image
UnitedHealth ($UNH), the largest health insurer in the U.S., is under federal criminal investigation for possible Medicare fraud.

Stock is down 50%.
CEO Andrew Witty “resigned” for personal reasons.

Investors are stunned.
Patients?
Just trying to get someone to approve their MRI.
[2/]Image
This isn’t just a company collapsing;
it’s the entire healthcare industry revealing its true nature.

If you’re saving this, you must definitely follow @DutchRojas.
He has been highlighting these issues for years.

Healthcare isn’t failing;
it’s operating exactly as it was intended to.
[3/]Image
@UHC The DOJ’s healthcare fraud unit is reportedly leading the probe.

UnitedHealth responded like every well-lawyered corporation under fire:
“We haven’t been notified, but we deny it anyway.”
[4/] Image
@UHC Meanwhile, UnitedHealth quietly dragged its CEO offstage and brought back their former CEO from 2006–2017.

Because nothing screams “accountability” like asking the guy who built the Death Star to come fix the Death Star.
[5/] Image
Let’s rewind:

• They “pay bills” on behalf of 51 million people
• Run one of the largest PBMs in the world
• Control the care and the coverage
• Called a “nonprofit partner” in some states
• Now under investigation for defrauding Medicare

This isn’t healthcare. It’s a casino.
[6/]Image
@UHC This is what happens when the US government writes laws that help large corporations more than citizens.

Profits go up
Patient care stagnates
Accountability disappears
And the government becomes a silent business partner.

Everyone eats—except the sick.
[7/] Image
@UHC And yet people were on CNBC this week saying UnitedHealth was “essential.”

If United Healthcare is essential, then fraud is just billing innovation.


[8/]
@UHC Here’s the full story UnitedHealth probably doesn’t want you to read:



Healthcare in America isn’t broken.
It’s doing exactly what it’s supposed to—
for shareholders.

[9/] wsj.com/us-news/united…Image
@UHC If you’re defending UnitedHealth right now,
I hope you’re getting paid in Humira coupons
and rejected prior authorizations.

[10/] Image

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More from @DutchRojas

May 14
𝗨𝗻𝗶𝘁𝗲𝗱𝗛𝗲𝗮𝗹𝘁𝗵𝗰𝗮𝗿𝗲 𝘄𝗮𝘀 𝘁𝗿𝗮𝗱𝗶𝗻𝗴 𝗮𝘁 $𝟲𝟬𝟬 𝗷𝘂𝘀𝘁 𝟰𝟬 𝗱𝗮𝘆𝘀 𝗮𝗴𝗼.
𝘛𝘰𝘥𝘢𝘺 𝘪𝘵 𝘤𝘭𝘰𝘴𝘦𝘥 𝘢𝘵 $308.01

𝗧𝗵𝗮𝘁’𝘀 𝗻𝗼𝘁 𝗮 𝗱𝗶𝗽.
That’s a controlled demolition.

Let’s talk about the “market correction” nobody’s calling what it is.

#HealthFinance #UNH @UHCImage
𝗥𝗲𝗮𝘀𝗼𝗻 𝟭:
𝗠𝗲𝗱𝗶𝗰𝗮𝗹 𝘂𝗻𝗱𝗲𝗿𝘄𝗿𝗶𝘁𝗶𝗻𝗴 𝗹𝗼𝘀𝘀𝗲𝘀 𝗶𝗻 𝘁𝗵𝗲𝗶𝗿 𝗠𝗲𝗱𝗶𝗰𝗮𝗿𝗲 𝗔𝗱𝘃𝗮𝗻𝘁𝗮𝗴𝗲 𝗯𝗼𝗼𝗸.

Translation:
The house bet on sick patients not being too sick.
The house lost.

Actuaries are re-running the numbers—and sweating.

But don't worry, there are some "influencers" on X on LinkedIn who know better.
Go ahead and buy the dip.
You said you were going to 3 weeks ago...

As usual, they were just talking
And they were wrong 3 weeks ago, and they are wrong today.

#MedicareAdvantage
#InsuranceMath
2/Image
Reason 2:
Leadership chaos.

𝗕𝗿𝗶𝗮𝗻 𝗧𝗵𝗼𝗺𝗽𝘀𝗼𝗻—𝗖𝗘𝗢 𝗼𝗳 𝗨𝗻𝗶𝘁𝗲𝗱𝗛𝗲𝗮𝗹𝘁𝗵𝗰𝗮𝗿𝗲—𝘄𝗮𝘀 𝗺𝘂𝗿𝗱𝗲𝗿𝗲𝗱 𝗶𝗻 𝗠𝗮𝗿𝗰𝗵.
Yes, murdered.
The media went dark.
Wall Street went quiet.

But insiders are whispering: “This isn’t business as usual.”

#UNH #LeadershipCrisisImage
Read 10 tweets
May 13
Blue Cross Blue Shield of Michigan made $36.3 billion last year.

Did you know Blue Cross Blue Shield of Michigan is a NON PROFIT?

Their CEO walked with $15.7 million.

Charity grants to clinics?
$914,000.

Let’s talk about the nonprofit lie in healthcare.

A thread...🧵Image
That $914K in grants is 0.0025% of revenue.
It’s less than a rounding error.

Blue Cross Blue Shield extracted $36.3 Billion from the good people of Michigan and and will pay:

No income tax

No state taxes

No property taxes

FYI Michigan, your politicians suck.
2/Image
Bookmark this thread.

Healthcare isn’t expensive by accident.
It’s expensive because of stories like this.

Follow + subscribe—these threads pull back the curtain on the challenges & solutions in healthcare.

3/Image
Read 10 tweets
May 11
The U.S. healthcare system isn’t broken.
It’s an engineered scam, legalized corruption wrapped in non profit labels, lab coats, billing codes, and suits.

Here’s the one stat that proves it—and why you’re broke, sick, and still on hold with your insurer.

A thread..🧵 Image
Big Pharma, Big Insurance, Big Medical Devices:

Together they employ 3,006 lobbyists in D.C.

That’s 5.6 lobbyists per member of Congress.

Not healthcare.
Corporate occupation.
(2/)
Break it down:

Pharma: 1,845 lobbyists
Devices: 622
Insurance: 539

Congress has 535 members.

These lobbyists aren’t visitors. They’re embedded.
(3/)
Read 11 tweets
May 5
Saint Francis Health System: where “nonprofit” means $2 billion in assets, tax-free perks, and the most aggressive medical debt lawsuits in Oklahoma.

Jesus heals.
Saint Francis sues.

Let’s unpack how a “charitable” hospital plays the system like Goldman Sachs in scrubs:

A 🧵… Image
First, the numbers:

Annual surplus: $129.1 million
Revenues: ~$1 billion
Net assets: Nearly $2 billion

That’s not a hospital.
That’s a healthcare empire.

And yet… it’s a nonprofit, so it pays zero in federal income taxes.
2/ Image
In fact, Saint Francis pays no property tax on its massive Tulsa real estate—hospitals, offices, satellites.

That means local public schools, libraries, emergency services?

Funded without help from this “community institution.”

3/
Read 12 tweets
May 3
You think your insurance denied your claim?

It didn’t.
Your employer did.

Here’s what most people don’t know about how health benefits work…

A 🧵Image
Over 65% of employer-sponsored plans are self-funded.

That means:

The employer pays the claims.
The employer designs the plan.
The employer benefits when care is denied.
2/ Image
Insurance companies?

They’re just administrators for most working Americans.

They follow your employer’s instructions.

They wear the logo,
but not the responsibility.

3/
Read 9 tweets
Jan 12
Healthcare is inelastic, so prices don't matter!

Stop right there.

Let’s discuss basic economics that the healthcare industry doesn't want you to understand.
🧵👇

#healthcare
2/ Elasticity 101:

🍷 Wine = Elastic
(Price goes up, people buy less or switch to beer)

💧 Water = Inelastic
(Price goes up; you still need water to live and put out fires)

Simple, right?

Now, let's expose the big #healthcare lie...
3/ Here's what they don't teach you:

USA Healthcare:
• 18 BILLION total services yearly
• Only 127.4M emergency services
• That's 0.7% truly "inelastic"

The other 99.3%?

Completely elastic.
Read 10 tweets

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