Out of Patients
with Matthew Zachary
Welcome to 2026: The Year of the Patient where the sick shall inherit the ballot.
The University of Save My Ass From American Healthcare
American healthcare has spent decades teaching patients to become better mechanics instead of fixing the machine. We learn deductibles, networks, prior authorization, appeals and PBMs because something went wrong. When did surviving the healthcare system become the patient’s responsibility?
How I’d Spend $1 Billion to Fix Healthcare Alongside Mark Cuban
Mark Cuban attacks healthcare through pricing transparency and market discipline. I would attack it through patient infrastructure, legal protection, accountability, and civic power. Together, those strategies could finally begin realigning the incentives driving American healthcare.
Mark Cuban Wants to Take Us Back To 1955
Mark Cuban exposes PBM corruption and champions transparent drug pricing. He is right about generics. He is wrong about cash solving catastrophic care. A brain cancer survivor explains why $12 prescriptions and $960,000 transplants live in different universes.
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.
Dear Mark Cuban: Trump’s Healthcare Plan Protects the PBM Cartel
An open letter to Mark Cuban on why the Great Healthcare Plan fails patients. It leaves PBM power intact, ignores pricing abuse, and turns transparency into theater. Patients already know how often claims get denied. We live it every day.
Another Open Letter to Mark Cuban
You've disrupted drug pricing. Now help us disrupt the ballot. 19M cancer survivors and 133M Americans with chronic conditions are done being products. Patients are becoming a political force ready to vote out lawmakers who rig the system against us. The storm is here either way. Say yes or no.
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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