Out of Patients
with Matthew Zachary
Welcome to 2026: The Year of the Patient where the sick shall inherit the ballot.
![[ICYMI] Your Denial Doesn’t Have to Be Correct. It Just Has to Exhaust You.](https://images.squarespace-cdn.com/content/v1/695180f1fb7a0c3ff10aae14/1790193640835-L6UWIXWRR0FBWHSJFOMR/UHC_LI.jpg)
[ICYMI] Your Denial Doesn’t Have to Be Correct. It Just Has to Exhaust You.
A lawsuit involving UnitedHealth Group alleges more than 90% of certain claim denials were reversed when appealed. The bigger story isn’t just AI. It’s a healthcare system that makes sick people fight decisions that may not survive scrutiny.
$1.7 Trillion Dollars. $54 Billion in Profits, 10 Million Fewer People.
In 2025, seven insurers generated $1.7 trillion in revenue and $54 billion in profit while covering 10 million fewer people. Premiums hit $26,993 for families. Public funding expanded. Consolidation deepened. The incentive structure driving American health insurance stands exposed.
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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