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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NEWSWORTHY Matthew Zachary NEWSWORTHY Matthew Zachary

What My Annual ASCO Mosaic Reveals About Cancer Care

Every year I leave ASCO with hundreds of selfies that become one giant mosaic. This year’s image tells a bigger story than the science alone. It captures the people, conversations, and growing realization that the next challenge in cancer care isn’t discovery. It’s making sure patients can reach it.

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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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OPINION Matthew Zachary OPINION Matthew Zachary

When Patients Stop Trusting Dermatology

Millions of eczema patients increasingly distrust the treatments medicine tells them to rely on. Matthew Zachary examines topical steroid withdrawal, chronic inflammation, patient distrust, and the healthcare incentives driving one of medicine’s fastest growing credibility crises

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PODCAST Matthew Zachary PODCAST Matthew Zachary

Out of Patients EP440:Not Today, Jesus: Janine Durso

A ruptured brain aneurysm triggered elite emergency care that saved a life. Insurance policy still blocks preventive screening for her child. This piece explains how US healthcare pays for catastrophe and delays detection, and what must change before the next bleed.

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