Out of Patients
with Matthew Zachary

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

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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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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NEWSWORTHY Matthew Zachary NEWSWORTHY Matthew Zachary

Healthcare Is a Private Tax Triggered by Diagnosis

Gallup reports 82 million Americans cut back on daily life to afford healthcare. Coverage shifts financial risk to families through deductibles and prior authorization. Diagnosis now operates like a private tax on survival and forces tradeoffs across work, housing, and retirement.

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NEWSWORTHY Matthew Zachary NEWSWORTHY Matthew Zachary

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.

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