Out of Patients
with Matthew Zachary
Welcome to 2026: The Year of the Patient where the sick shall inherit the ballot.
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.
I went on Humanity Rx to say the quiet part clearly and attach names, timelines, and consequences to it.
Matthew Zachary joins Humanity Rx to break down how modern cancer care improves survival while leaving patients exposed to medical debt, prior authorization delays, and financial risk, and why policy change depends on organized patient power.
Out of Patients EP437: First in (Wo)Man: Jessica J. Federer
Women were excluded from U.S. clinical trials until 1993. That decision shaped drug safety, outcomes, and cost for decades. This essay breaks down the incentives, capital flows, and regulatory gaps that sustained it and what must change next.
Out of Patients EP436: “But You Look Great” with Monique Gore Massy
Monique Gore Massy spent 2.5 years misdiagnosed while lupus shut her body down. This episode exposes bias, diagnostic delay, and the cost of dismissing patients who “look fine,” and what happens when lived experience demands real authority.
Out of Patients EP0434: Neuro Spicy on the Front Line: Dr Pamela Buchanan
ER physician Dr Pamela Buchanan spent 20 years inside American medicine and 2020 nearly broke her. She worked 80 to 100 hour COVID weeks, isolated from family, and faced emotional flatline head on. A raw look at burnout, suicide risk, and why doctors are walking away.
Out of Patients EP433: STEMM Cells and Broken Bones
Dr Eugene Manley survived 20 to 30 ER visits a year in 1980s Detroit, earned 3 science degrees, and later caught falsified records after surgery at Mount Sinai Queens. In EP433 he breaks down medical racism, STEMM access, and how patients fight back with facts.
Out of Patients EP432: Callus on Your Soul: Jenny Opalinski
Jenny Opalinski worked ICU floors where 10 to 15 traumatic events can hit in a single shift. In EP432 of Out of Patients she confronts clinician burnout, moral injury, and the cost of empathy in healthcare. A raw conversation about survival inside a system that grinds people down.
Out of Patients EP431: Reclaiming the Vowels: Sarah Gromko
Berklee trained composer Sarah Gromko left film scoring for speech language pathology and now helps adults recover voice after stroke, ALS, brain injury, and cancer. In EP431 she explains aphasia and motor speech disorders and shares how melody helped a 16 year old gunshot survivor say I love you Mom again.
Spoiler Alert: The Middlemen Cost More Than the Medicine
Health systems consolidate. Insurers post record profits. Employers spend $20,000 per employee on coverage while workers fight denials alone at 11 pm. Insurance middlemen now cost more than the drugs. The system rewards delay and calls it complexity. Families call it Tuesday.
Out of Patients EP428: Lead (Poisoning), Laugh, Love with Shannon Burkett
Shannon Burkett joins Out of Patients to tell the story of her son’s lead poisoning, the systems that failed him, and how she turned rage into action. Actor, nurse, filmmaker, and mother breaking down how environmental harm hides in plain sight.
🎄 The Most Famous Kids In Cancer Advocacy Are Back 🎄
Every December my twins hijack the Out of Patients feed. Now 15 they bring Gen Z honesty Gen X upbringing and unfiltered stories from life inside cancer advocacy. Eight years in their voices change but the love and humor stay loud.
Out of Patients EP427: Hair Today, Gone Tomorrow: Jason Gilley
Diagnosed with stage 3 testicular cancer at 19 Jason Gilley talks about masculinity trauma chemo panic attacks fertility loss and surviving a pediatric ward at 6 foot 4. This episode tells the truths young adult survivors rarely say out loud.
🎙️ 🚨 SEASON NINE PREMIERE 🚨🎙️
Marc Elia chairs a biotech company and lives with Long COVID. On Out of Patients, he breaks down the invisible immunocompromised population, the limits of regulatory thinking, and why empathy without action leaves patients stranded.