Out of Patients
with Matthew Zachary
Welcome to 2026: The Year of the Patient where the sick shall inherit the ballot.
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.
When Denial Becomes the System: Jace Yawnick
US healthcare does not fail when it denies care. It performs as designed. This essay involving the life of Jace Yawnick examines how insurance incentives, prior authorization, and employer based coverage shape access, delay treatment, and shift risk onto patients while increasing total cost.
It's A Bird. It's A Plane. It's A Book Trailer! 🙀
After 30 years inside the healthcare system, Matthew Zachary watches his story and thousands of others come to life in a cinematic trailer for We the Patients and explains why this project now reaches far beyond a book.
Out of Patients EP437: First in (Wo)Man: Jessica J. Federer
Women were excluded from U.S. clinical trials until 1993. That decision shaped drug safety, outcomes, and cost for decades. This essay breaks down the incentives, capital flows, and regulatory gaps that sustained it and what must change next.
Tamika Felder Built Cervivor. Then She Built a Family.
At 25, cervical cancer forced Tamika Felder into a hysterectomy without fertility preservation. Two decades later, another survivor donated embryos that helped her become a mother. A story about systemic gaps, advocacy, and the family she built anyway.
Breaking Up Big Medicine
The new bipartisan proposal to separate insurers, PBMs, and providers targets the financial structure behind rising costs and denials. This piece explains how ownership concentration reshaped care, why regulation failed, and what structural separation could change for patients.
We The Patients LIVE: North Carolina Was Just The Beginning…
We The Patients LIVE Raleigh brought patients clinicians policymakers and journalists into the same room to confront how healthcare harm actually forms. What emerged was clarity accountability and the beginning of a different kind of conversation about power trust and consequence.