Out of Patients
with Matthew Zachary
Welcome to 2026: The Year of the Patient where the sick shall inherit the ballot.
Out of Patients EP452:You Shouldn’t Need AI to Survive Cancer: Brad Power
Cancer patients increasingly rely on AI and patient networks to navigate a healthcare system built around fragmentation and administrative burden. Brad Power explains why patients now trust technology more than the institutions designed to care for them
Twenty Four Thousand People Follow Me on LinkedIn. Healthcare Should Be Paying Attention.
Crossing 24,000 LinkedIn followers is more than a social media milestone. It reflects a growing community of patients, caregivers, and clinicians who are tired of insurance denials, medical debt, and a healthcare system that too often puts bureaucracy before people.
Insurance Denied? Here’s What They Hope You Never Learn.
Most people assume an insurance denial is the end of the story. It isn’t. Learn why appeals succeed more often than you think, why so few patients file them, and discover a free, plain-English guide to navigating denials, deadlines, and your rights before you give up.
86% Of Congress Took Money From The Health Insurance Lobby. Now There’s A Tracker With The Receipts.
A new tracker shows that 86% of Congress took campaign money from major health insurance PACs. The biggest checks went to the lawmakers with the most power over healthcare policy, raising a brutal question: who exactly is Congress working for when patients are being denied care?
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.
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.
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.
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.
The Deadliest Part of American Healthcare Might Be the Waiting
A retired firefighter’s denied cancer treatment reveals a larger truth about American healthcare. Administrative friction has become an economic strategy that shifts costs onto patients and physicians while delaying care in ways the system rarely measures but patients always feel.
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.
The Healthcare System Works Exactly as Designed. Cancer Patients Pay the Price.
Cancer patients increasingly absorb the financial risk of surviving disease in America. A brain cancer survivor examines how healthcare incentives, insurance design, and policy decisions shifted instability onto patients and families while institutions protect margins.
Today My Book Comes Out! It's Already In Its Second Printing. That Never Happens.
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.
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.
Hospitals and Insurers Keep Blaming Each Other While Patients Finance the Entire System
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.
23,000 LinkedIn Followers and the Reality of US Healthcare
23,000 people follow me on LinkedIn. They are patients, caregivers, and clinicians dealing with insurance denials, medical debt, and delays in care. Here is what they are seeing every day and why it reflects a much larger problem across US healthcare.
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.
Prior Authorization Works Exactly as Designed and That Is the Problem
Prior authorization persists because it works for the system that created it. This essay explains how cost control, risk management, and delay shape patient outcomes, why reform keeps falling short, and what must change to align financial incentives with timely care.
What Happens If More Patients Appeal Insurance Denials?
Only 0.2% of patients appeal insurance denials, yet 80% succeed. This article examines how even small increases in appeals could shift insurer behavior, raise costs, influence Wall Street expectations, and reshape the economics of American healthcare.
American Harmcare: The System Working Exactly As Designed
A 30 year brain cancer survivor breaks down how insurance delays, denials, and red tape harm patients by design. This is not dysfunction. This is the business model.
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.