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.

Thirty years after brain cancer, Matthew Zachary returned to the piano at Merkin Hall for MZLIVE, a night that became far more than a concert. Survivors, advocates, clinicians, and healthcare leaders confronted what survivorship actually costs and what the system still refuses to see

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.

Hospitals blame insurers. Insurers blame hospitals. Patients finance the entire system through premiums, deductibles, debt, and confusion. Matthew Zachary examines the incentive structures, financial flows, and institutional dependencies that keep American healthcare expensive, opaque, and exhausting.

In January 1996, I lay in a hospital bed with a brain tumor, no piano, and no idea if I would survive. A simple melody came to me. When I got home, my left hand had forgotten how to play. So I wrote Simplicity with just my right hand. 30 years later, I'm performing it live for the first time.

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.

Sally Neely Nix manages chronic pain with nerve block injections. No opioids. Her insurer calls them experimental. So she built a policy brief and sent it to the CEO. While in extreme pain. Patients shouldn't have to become researchers to access care that works.

After 22 years away from solo performance, Matthew Zachary returns to the stage April 28 at Merkin Concert Hall in NYC. A live piano concert marking 30 years since brain cancer, featuring stories from the cancer community and the launch of We the Patients.

Matthew Zachary reads from We the Patients for the first time at the Cervivor Summit. Surrounded by cervical cancer survivors, he breaks down while honoring families crushed by medical debt and systemic failure. A defining moment ahead of the book’s May 2026 release.

A blinking answering machine. That's how I found out I had brain cancer. I was 21. Thirty years later, I wrote a book about it. "We the Patients" isn't a memoir—it's a manual. The system isn't broken. It was built this way. Don't try to fix it. Rig it in your favor. This book shows you how.