Out of Patients
with Matthew Zachary
Welcome to 2026: The Year of the Patient where the sick shall inherit the ballot.
The Missing Constituency: What Comes Next for Patient Advocacy
Patients have always had the numbers. What they have never had is a shared political identity. After 30 years in patient advocacy, Matthew Zachary argues that the next chapter may be transforming shared healthcare experiences into civic and political power.
Someone Left the Light On: An Ode to the Cancer Support Community
Thirty years ago, I walked into Gilda’s Club and the Wellness Community as a 22-year-old brain cancer survivor looking for people who understood. I recently returned to its successor, Cancer Support Community, and finally understood what those rooms, and the people who kept them open, had given me.
My Father Wrote Everything Down: Behind We the Patients | Story 5 of 5
During my cancer treatment, my father documented everything: doctors, appointments, weather, parking and even where I threw up. Thirty years later, I understood those notes differently. They were a record of what a terrified parent does when love cannot fix the problem.
Someone Had To Clear The Road: Eulogizing Dr. Harold Freeman
Dr. Harold Freeman saw poor Black women dying of breast cancer in Harlem and asked why. His answer helped create patient navigation and permanently changed cancer care. A personal remembrance of a pioneer whose road millions still travel today.
My Dad Drove on the Sidewalk: Behind We the Patients | Story 1 of 5
At 21, I watched my father drive onto a Manhattan sidewalk to get me home from brain cancer treatment. Thirty years later, I realized that absurd New York moment was a perfect metaphor for American healthcare: when the road is blocked, patients are expected to find the sidewalk.
Doctors Aren’t Unable to Treat Their Patients. They’re Being Blocked.
Doctors know how to treat their patients. Increasingly, they’re being blocked from doing it. After decades in patient advocacy, I’m realizing that patients and physicians may be fighting different sides of the same healthcare battle.
The Internet Demanded That She Look More Like She Was Dying
Sydney Towle didn’t fail to look sick enough. We failed to understand what living with cancer can actually look like. Her story exposes a culture that demands patients perform suffering before offering compassion, and what that says about all of us.
The Denial Machine: Why America’s Health Insurance Appeals System Rewards Patient Exhaustion
More than 80% of appealed Medicare Advantage prior authorization denials are overturned, yet fewer than 0.2% of ACA Marketplace denials are ever appealed. The problem is not only denial. It is a system that profits when patients run out of time, energy, and hope.
Out of Patients EP4534: Your Benefits May Vary: Rebecca Bloom
Rebecca Bloom spent decades inside employee benefits law before helping women navigate cancer, insurance, disability, work, and survival. This conversation exposes the hidden administrative labor patients inherit the second they get sick.
Out of Patients EP453: Mission, Margin, and the Women Left Waiting: Vasanta Pundarika
Women delay care while healthcare systems optimize around assumptions that no longer reflect how people live. Former healthcare investment banker Vasanta Pundarika explains how caregiving, behavioral health, women’s health, and capital incentives collide inside American healthcare.
UnitedHealth Helped Write the Rules. Then It Started Losing.
UnitedHealth helped shape research behind the No Surprises Act expecting greater leverage over providers. Then neutral arbiters started ruling against insurers. Now it wants the rules changed. Wendell Potter’s reporting reveals how healthcare power works behind the scenes.
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
Twenty Four Thousand People Follow Me on LinkedIn. Healthcare Should Be Paying Attention.
Crossing 24,000 LinkedIn followers is more than a social media milestone. It reflects a growing community of patients, caregivers, and clinicians who are tired of insurance denials, medical debt, and a healthcare system that too often puts bureaucracy before people.
Insurance Denied? Here’s What They Hope You Never Learn.
Most people assume an insurance denial is the end of the story. It isn’t. Learn why appeals succeed more often than you think, why so few patients file them, and discover a free, plain-English guide to navigating denials, deadlines, and your rights before you give up.
86% Of Congress Took Money From The Health Insurance Lobby. Now There’s A Tracker With The Receipts.
A new tracker shows that 86% of Congress took campaign money from major health insurance PACs. The biggest checks went to the lawmakers with the most power over healthcare policy, raising a brutal question: who exactly is Congress working for when patients are being denied care?
UnitedHealthcare Invited Journalists to Headquarters to Prove They’re the Good Guys. Then the CEO Called Wrongful Death Lawsuits “One-Offs.”
UnitedHealthcare invited journalists to headquarters to burnish its image. Then its CEO dismissed wrongful death lawsuits as “one-offs.” That phrase says everything about a system where denial, delay, and patient harm are treated as isolated incidents instead of the business model.
Out of Patients EP451: The Doctor Will Leave You Now: Jessica Peatross
Dr. Jessica Peatross spent years inside hospital medicine before realizing many chronically ill patients improved only after leaving the system behind. In this episode, she unpacks mold exposure, overmedication, functional medicine, and why patients keep losing trust in healthcare.
100 Cancer Survivors Just Got Named to a Very Special List None of Us Ever Asked to Be On
OncoDaily named 100 influential cancer survivors for 2026. Matthew Zachary explains why the honor matters, why it’s bittersweet, and what survivor visibility really means for newly diagnosed patients looking for proof they’re not alone.
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.
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.