Section 6001 of the Affordable Care Act quietly outlawed physician ownership of health systems. It was buried deep in the legislation, yet it changed everything about how medicine is practiced in America.

Keywords: Section 6001, physician ownership, Affordable Care Act, healthcare reform, independent medicine.

This episode was recorded live at the Physician-Led Healthcare for America (PHA) Summit in Santa Fe.

Anthony DiGiorgio, MD, and Dutch Rojas sit down with Dr. Luis Manuel Tumialán, M.D., Chair of the Council of State Neurosurgical Societies.

Together, they expose how this single clause silenced physician voices, fueled consolidation, and stripped doctors of control over patient care.

They also explore how physician-owned facilities once delivered lower costs, higher access, and better outcomes, and what it will take to bring that model back.


Timestamps:
00:00 – Why are fewer physicians independent  
01:06 – What is Section 6001?  
02:34 – How physician ownership improves patient care  
05:43 – Why doctors are losing control of medicine  
07:50 – The knowledge gap: most physicians don’t know  
09:18 – The academic blockade on independence  
12:12 – Teaching physicians' business literacy  
14:20 – Raising the socioeconomic IQ of neurosurgery  
16:02 – The coming physician opt-out of Medicare  
17:43 – Final reflections from Dr. Luis Manuel Tumialán  



Guests:
Dr. Luis Manuel Tumialán, M.D.: Chair, Council of State Neurosurgical Societies  
Host: Dr. Anthony DiGiorgio: Neurosurgeon, UCSF  
Host: Dutch Rojas: Founder, Bliksem Health and The Rojas Report 



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