Out of Patients
with Matthew Zachary
Welcome to 2026: The Year of the Patient where the sick shall inherit the ballot.
Prevention Is Being Prevented
Patients and healthcare innovators may be fighting opposite sides of the same locked door. What that reveals about access, incentives, advocacy and the case for patient political power.
Better Health Care Isn’t Charity. It’s Cheaper.
Patients aren’t the only ones paying for American healthcare dysfunction. Employers, hospitals, physicians and manufacturers lose billions to denials, prior authorization and administrative friction. Better healthcare may also be cheaper.
America’s Newest Healthcare Industry Is Protecting Us From American Healthcare
American healthcare has spawned a multibillion-dollar navigation industry to help patients use the care they already pay for. Advocates solve real problems. The stranger question is why the system creates so much demand for them.
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