Out of Patients
with Matthew Zachary

Welcome to 2026: The Year of the Patient where the sick shall inherit the ballot.

NEWSWORTHY Matthew Zachary NEWSWORTHY Matthew Zachary

UnitedHealthcare Invited Journalists to Headquarters to Prove They’re the Good Guys. Then the CEO Called Wrongful Death Lawsuits “One-Offs.”

UnitedHealthcare invited journalists to headquarters to burnish its image. Then its CEO dismissed wrongful death lawsuits as “one-offs.” That phrase says everything about a system where denial, delay, and patient harm are treated as isolated incidents instead of the business model.

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OPINION Matthew Zachary OPINION Matthew Zachary

The Luxury of Being Heard

Concierge medicine used to be for the rich. Now ordinary patients are paying out of pocket for advocates, navigators, and direct access just to get the care their insurance was supposed to provide in the first place. Welcome to the second bill nobody asked for.

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PODCAST Matthew Zachary PODCAST Matthew Zachary

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.

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NEWSWORTHY Matthew Zachary NEWSWORTHY Matthew Zachary

What My Annual ASCO Mosaic Reveals About Cancer Care

Every year I leave ASCO with hundreds of selfies that become one giant mosaic. This year’s image tells a bigger story than the science alone. It captures the people, conversations, and growing realization that the next challenge in cancer care isn’t discovery. It’s making sure patients can reach it.

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OPINION Matthew Zachary OPINION Matthew Zachary

The Fact That Patients Need Survival Guides Is the Scandal

Americans now need books to survive healthcare. That’s not evidence of empowerment. It’s evidence of failure. As affordability collapses and complexity grows, patients are being forced to become advocates, navigators, and administrators just to access care they already pay for.

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PODCAST Matthew Zachary PODCAST Matthew Zachary

An ICU Doctor Checked His Insurance Portal Every Day While His Daughter Was Dying Of Cancer. He Was Terrified They Would Kick Her Off.

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.

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OPINION Matthew Zachary OPINION Matthew Zachary

Patients Should *NOT* Have To Write Policy Briefs

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.

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