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
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.
They Gave Every Medical Student My Book. Then We Talked About the Storm They’re Inheriting.
At the 2026 Robert A. Winn Clinical Investigator Symposium, hundreds of medical students received We the Patients and were challenged to see healthcare from the patient side of the bed rail, including the burden, bureaucracy, and hidden labor that medical training too often ignores.
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.
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.
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.
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.
When Denial Becomes the System: Jace Yawnick
US healthcare does not fail when it denies care. It performs as designed. This essay involving the life of Jace Yawnick examines how insurance incentives, prior authorization, and employer based coverage shape access, delay treatment, and shift risk onto patients while increasing total cost.
MZLIVE and the Accidental Creation of America’s Survivorship Movement
Thirty years after brain cancer, Matthew Zachary returned to the piano at Merkin Hall for MZLIVE, a night that became far more than a concert. Survivors, advocates, clinicians, and healthcare leaders confronted what survivorship actually costs and what the system still refuses to see
Today My Book Comes Out! It's Already In Its Second Printing. That Never Happens.
We the Patients officially launches today and is already in its second printing before release day. Matthew Zachary shares why readers across healthcare, advocacy, and survivorship circles are responding so strongly to a book that names the realities patients live through every day.
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.
Hospitals and Insurers Keep Blaming Each Other While Patients Finance the Entire System
Hospitals blame insurers. Insurers blame hospitals. Patients finance the entire system through premiums, deductibles, debt, and confusion. Matthew Zachary examines the incentive structures, financial flows, and institutional dependencies that keep American healthcare expensive, opaque, and exhausting.
The National Health Council Is Hosting A Conference On AI And Patient Advocacy. There Are Zero Patients On The Panel.
A conference on patient advocacy with zero patients on the panel says everything. The industry keeps explaining itself while excluding the people who live the consequences. Here is what that looks like and why it keeps happening.
It's A Bird. It's A Plane. It's A Book Trailer! 🙀
After 30 years inside the healthcare system, Matthew Zachary watches his story and thousands of others come to life in a cinematic trailer for We the Patients and explains why this project now reaches far beyond a book.
23,000 LinkedIn Followers and the Reality of US Healthcare
23,000 people follow me on LinkedIn. They are patients, caregivers, and clinicians dealing with insurance denials, medical debt, and delays in care. Here is what they are seeing every day and why it reflects a much larger problem across US healthcare.
An ICU Doctor Checked His Insurance Portal Every Day While His Daughter Was Dying Of Cancer. He Was Terrified They Would Kick Her Off.
Dr. Hesham Hassaballa is board certified four times over with 20 years in the ICU. When his daughter was getting chemo, he checked his insurance portal daily, terrified they would drop her. A physician. In the system. Earning a good living. Still terrified of financial ruin because his child got sick.
Prior Authorization Works Exactly as Designed and That Is the Problem
Prior authorization persists because it works for the system that created it. This essay explains how cost control, risk management, and delay shape patient outcomes, why reform keeps falling short, and what must change to align financial incentives with timely care.
What Happens If More Patients Appeal Insurance Denials?
Only 0.2% of patients appeal insurance denials, yet 80% succeed. This article examines how even small increases in appeals could shift insurer behavior, raise costs, influence Wall Street expectations, and reshape the economics of American healthcare.