Out of Patients
with Matthew Zachary
Welcome to 2026: The Year of the Patient where the sick shall inherit the ballot.
The University of Save My Ass From American Healthcare
American healthcare has spent decades teaching patients to become better mechanics instead of fixing the machine. We learn deductibles, networks, prior authorization, appeals and PBMs because something went wrong. When did surviving the healthcare system become the patient’s responsibility?
How Prior Authorization Punishes the Sickest Patients
Insurance companies promise reform while patients absorb delay and denial. From IVIG rejections to cancer imaging hold ups, this essay documents how prior authorization functions in real life and why patients now recognize the pattern.
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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