Episode 0 1:10

The Healthcare Paradox — Official Trailer: Five-Star Care. Two-Star Payments.

Show notes

A board-certified cardiologist who is not leaving Puerto Rico.

Puerto Rico pays the same Medicare payroll tax rate, yet its Medicare Advantage benchmarks sit about 40% below the national average and 20% below the U.S. Virgin Islands — while Medicare's own ratings show exceptional quality: five-star care, two-star payments.

One solution for Secretary Kennedy: establish a 0.70 minimum AGA floor across Puerto Rico for 2028, using existing administrative authority. Act now.

Listen to The Healthcare Paradox. New episodes are out now — on Amazon Music, Apple Podcasts, Spotify, iHeartRadio, and YouTube.

This trailer features an AI-generated presenter and voice.

Music: "News Theme" by Kevin MacLeod (incompetech.com), licensed under Creative Commons: By Attribution 4.0.

Transcript

Full transcript

I'm not leaving Puerto Rico. I'm Dr. José Rodríguez, a board-certified cardiologist.

I have options in the States. But money isn't what drives me.

These are my patients. This is my island.

I was born here, raised here, and I'll be buried here.

This is my vocation. My passion.

We pay the same Medicare payroll tax rate.

Yet our benchmarks are 40% below the national average, 20% below the Virgin Islands.

Medicare's own ratings show exceptional quality: five-star care, two-star payments.

Stop penalizing performance.

Secretary Kennedy, one solution.

Establish an AGA floor of 0.70 across Puerto Rico for 2028.

Use your administrative authority. Act now.

Find us on Spotify, Apple Podcasts, Amazon Music, iHeartRadio and YouTube, wherever you get your podcasts.

The Healthcare Paradox starts now.