Out of Patients
with Matthew Zachary

Welcome to 2026: The Year of the Patient where the sick shall inherit the ballot.

PODCAST Matthew Zachary PODCAST Matthew Zachary

Out of Patients EP450: The Patient Wears Prada: Farla Efros

Retail executive and breast cancer survivor Farla Efros approached cancer the same way she rescued struggling companies: with strategy, discipline, and relentless preparation. She explains why patients are forced to become CEOs of their own care and why the system rewards those who can.

Read More
PODCAST Matthew Zachary PODCAST Matthew Zachary

When Denial Becomes the System: Jace Yawnick

US healthcare does not fail when it denies care. It performs as designed. This essay involving the life of Jace Yawnick examines how insurance incentives, prior authorization, and employer based coverage shape access, delay treatment, and shift risk onto patients while increasing total cost.

Read More
PODCAST Matthew Zachary PODCAST Matthew Zachary

Out of Patients EP440:Not Today, Jesus: Janine Durso

A ruptured brain aneurysm triggered elite emergency care that saved a life. Insurance policy still blocks preventive screening for her child. This piece explains how US healthcare pays for catastrophe and delays detection, and what must change before the next bleed.

Read More
PODCAST Matthew Zachary PODCAST Matthew Zachary

An ICU Doctor Checked His Insurance Portal Every Day While His Daughter Was Dying Of Cancer. He Was Terrified They Would Kick Her Off.

Dr. Hesham Hassaballa is board certified four times over with 20 years in the ICU. When his daughter was getting chemo, he checked his insurance portal daily, terrified they would drop her. A physician. In the system. Earning a good living. Still terrified of financial ruin because his child got sick.

Read More

Out of Patients?

Join the recurring Out of Patients dispatch from Matthew Zachary covering the latest American healthcare shenanigans. Essays, podcast episodes, media appearances, book updates, and live events delivered with a sardonic Gen X perspective from a patient who simply refuses to shut up.

Get the dispatch