Out of Patients
with Matthew Zachary
Welcome to 2026: The Year of the Patient where the sick shall inherit the ballot.
The Y-Chromosome Patient at the Women’s Health IT Conference
I spent 3 days at a conference for women in Health IT despite lacking the professional credentials and approximately half the necessary chromosomes. I came home thinking differently about healthcare insiders, patient communities, and one surprisingly consequential pronoun.
Out of Patients EP456: Fitz Happens: The Marvelous Fitz Koehler
Fitness expert Fitz Koehler did everything “right” and still got breast cancer. She joins Out of Patients to talk exercise oncology, survivorship, wellness snake oil, and why fitness cannot prevent every diagnosis but can help prepare the body for what comes next.
The Internet Demanded That She Look More Like She Was Dying
Sydney Towle didn’t fail to look sick enough. We failed to understand what living with cancer can actually look like. Her story exposes a culture that demands patients perform suffering before offering compassion, and what that says about all of us.
Out of Patients EP4534: Your Benefits May Vary: Rebecca Bloom
Rebecca Bloom spent decades inside employee benefits law before helping women navigate cancer, insurance, disability, work, and survival. This conversation exposes the hidden administrative labor patients inherit the second they get sick.
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.
The National Health Council Is Hosting A Conference On AI And Patient Advocacy. There Are Zero Patients On The Panel.
A conference on patient advocacy with zero patients on the panel says everything. The industry keeps explaining itself while excluding the people who live the consequences. Here is what that looks like and why it keeps happening.
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.
[WHAT IF?] Mark Cuban Ran for President on Healthcare?
The next national election will be shaped by a reality pollsters struggle to explain: one insurance letter or specialist bill can wipe out a family. What if Mark Cuban ran for president on healthcare, and only healthcare, treating it as the defining economic issue of American life?
Trump's Meeting With Insurers Is Already Over Before It Starts
24 million Americans watched premiums double overnight. Now Trump plans to pressure insurers who banked $543 billion in profits over a decade. The solution? HSAs—which create new revenue streams for the same industry while shifting costs onto patients who already can't afford care. This isn't reform.
Out of Patients?
Join the recurring Out of Patients dispatch from Matthew Zachary covering the latest American healthcare shenanigans. Essays, podcast episodes, media appearances, book updates, and live events delivered with a sardonic Gen X perspective from a patient who simply refuses to shut up.
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