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
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.
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.
The Chemical Safety Gap: How Incentives Still Outpace Protection
For 20 years, chemical reform promised protection. The system still allows widespread exposure while shifting risk to patients. This analysis explains how incentives, not science, determine what ends up in the products people use every day.
Eczema, Exit, Repeat: The Business Model of Chronic Disease
Millions cycle through eczema treatments that calm symptoms but never fix the cause. This essay explains how payment models, regulation, and product marketing keep patients trapped in repeat care instead of long term prevention.