Out of Patients
with Matthew Zachary
Welcome to 2026: The Year of the Patient where the sick shall inherit the ballot.
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.
When Patients Stop Trusting Dermatology
Millions of eczema patients increasingly distrust the treatments medicine tells them to rely on. Matthew Zachary examines topical steroid withdrawal, chronic inflammation, patient distrust, and the healthcare incentives driving one of medicine’s fastest growing credibility crises
Out of Patients EP436: “But You Look Great” with Monique Gore Massy
Monique Gore Massy spent 2.5 years misdiagnosed while lupus shut her body down. This episode exposes bias, diagnostic delay, and the cost of dismissing patients who “look fine,” and what happens when lived experience demands real authority.
No Care For You!
A new KFF poll shows prior authorization now ranks as the biggest burden in American healthcare. Delays and denials affect nearly half of insured adults, with severe mental, financial, and physical consequences. Patients across every plan agree.
Blue Cross Blue Shield of North Carolina Tried to Kill My Friend
Blue Cross Blue Shield of North Carolina demanded another review of an already-approved, externally-reviewed IVIG infusion—48 hours before treatment. For a patient with life-threatening hypersensitivity reactions. This is how the denial machine works, and how one patient fought back and won.
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.
It's "The Hill" Day
ACA subsidies are gone. Premiums are up 114%. 19 million cancer survivors and 150 million Americans with chronic conditions remember every denial and every EOB that reads like a threat. We are the largest bipartisan voter bloc yet to be organized. 2026 is the Year of the Patient. We will vote.