Out of Patients
with Matthew Zachary
Welcome to 2026: The Year of the Patient where the sick shall inherit the ballot.
Out of Patients EP456: Fitz Happens: The Marvelous Fitz Koehler
Fitness expert Fitz Koehler did everything “right” and still got breast cancer. She joins Out of Patients to talk exercise oncology, survivorship, wellness snake oil, and why fitness cannot prevent every diagnosis but can help prepare the body for what comes next.
Out of Patients EP4534: Your Benefits May Vary: Rebecca Bloom
Rebecca Bloom spent decades inside employee benefits law before helping women navigate cancer, insurance, disability, work, and survival. This conversation exposes the hidden administrative labor patients inherit the second they get sick.
Out of Patients EP453: Mission, Margin, and the Women Left Waiting: Vasanta Pundarika
Women delay care while healthcare systems optimize around assumptions that no longer reflect how people live. Former healthcare investment banker Vasanta Pundarika explains how caregiving, behavioral health, women’s health, and capital incentives collide inside American healthcare.
Out of Patients EP451: The Doctor Will Leave You Now: Jessica Peatross
Dr. Jessica Peatross spent years inside hospital medicine before realizing many chronically ill patients improved only after leaving the system behind. In this episode, she unpacks mold exposure, overmedication, functional medicine, and why patients keep losing trust in healthcare.
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.
52 Years Old and Still Here
Brain cancer at 21 forced Matthew Zachary into the American healthcare system decades before he understood its economics, incentives, and failures. At 52, he reflects on how surviving long enough to see the whole machine clearly led to writing We the Patients.
Today My Book Comes Out! It's Already In Its Second Printing. That Never Happens.
We the Patients officially launches today and is already in its second printing before release day. Matthew Zachary shares why readers across healthcare, advocacy, and survivorship circles are responding so strongly to a book that names the realities patients live through every day.
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.
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 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.
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.
🎙️ 🚨 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.
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.
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