Out of Patients
with Matthew Zachary

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

PODCAST Matthew Zachary PODCAST Matthew Zachary

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.

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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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OPINION Matthew Zachary OPINION Matthew Zachary

52 Years Old and Still Here

Brain cancer at 21 forced Matthew Zachary into the American healthcare system decades before he understood its economics, incentives, and failures. At 52, he reflects on how surviving long enough to see the whole machine clearly led to writing We the Patients.

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ANNOUNCEMENTS Matthew Zachary ANNOUNCEMENTS Matthew Zachary

It’s Time For A Second Opinion

A blinking answering machine. That's how I found out I had brain cancer. I was 21. Thirty years later, I wrote a book about it. "We the Patients" isn't a memoir—it's a manual. The system isn't broken. It was built this way. Don't try to fix it. Rig it in your favor. This book shows you how.

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