Out of Patients
with Matthew Zachary
Welcome to 2026: The Year of the Patient where the sick shall inherit the ballot.
Express Scripts Hit With RICO Lawsuit: The Swiss Shell Game That May Have Robbed Patients for Years
Express Scripts allegedly created a Swiss shell company to hide rebate money from employers and patients. Cigna's own CMO admitted they could "double, triple dip on fees." Now a RICO lawsuit threatens existential damages. Welcome to 2026: The Year of the Patient.
Healthcare Is a Private Tax Triggered by Diagnosis
Gallup reports 82 million Americans cut back on daily life to afford healthcare. Coverage shifts financial risk to families through deductibles and prior authorization. Diagnosis now operates like a private tax on survival and forces tradeoffs across work, housing, and retirement.
How I Hacked Google Alerts to Track Healthcare's Worst Behavior
I do not have insider sources. I have Google Alerts. Set up 19 targeted alerts and watch insurance denials, cancer treatment delays, lawsuits, and settlements roll in daily. The stories are public. The patterns are obvious. Here is how to see what I see.
Tamika Felder Built Cervivor. Then She Built a Family.
At 25, cervical cancer forced Tamika Felder into a hysterectomy without fertility preservation. Two decades later, another survivor donated embryos that helped her become a mother. A story about systemic gaps, advocacy, and the family she built anyway.
Blue Cross Blue Shield Got Caught Rigging The Market. The Penalty? $2.67 Billion. The Timeline? Six Years And Counting.
Blue Cross Blue Shield settled a 2.67 billion antitrust lawsuit in 2020 after restricting competition for more than a decade. Payments begin in 2026. Six years later, customers get checks while insurers move on. Here is what happened and why it keeps happening.
200,000 Patients Held Hostage While Corporations Negotiate
Mount Sinai and Anthem fight over 450 million dollars while 200000 patients scramble to keep their doctors and cancer treatment. Corporate contract disputes now function as leverage tactics, turning patients into bargaining chips in rate negotiations.
Breaking Up Big Medicine
The new bipartisan proposal to separate insurers, PBMs, and providers targets the financial structure behind rising costs and denials. This piece explains how ownership concentration reshaped care, why regulation failed, and what structural separation could change for patients.
We The Patients LIVE: North Carolina Was Just The Beginning…
We The Patients LIVE Raleigh brought patients clinicians policymakers and journalists into the same room to confront how healthcare harm actually forms. What emerged was clarity accountability and the beginning of a different kind of conversation about power trust and consequence.
How Prior Authorization Punishes the Sickest Patients
Insurance companies promise reform while patients absorb delay and denial. From IVIG rejections to cancer imaging hold ups, this essay documents how prior authorization functions in real life and why patients now recognize the pattern.
Blue Cross Blue Shield of North Carolina Tried to Kill My Friend
Blue Cross Blue Shield of North Carolina demanded another review of an already-approved, externally-reviewed IVIG infusion—48 hours before treatment. For a patient with life-threatening hypersensitivity reactions. This is how the denial machine works, and how one patient fought back and won.