Out of Patients
with Matthew Zachary
Welcome to 2026: The Year of the Patient where the sick shall inherit the ballot.
You Should Not Need To Know Mark Cuban To Get Unfucked From American Healthcare.
A heart transplant survivor lost affordable access to the drug keeping her alive. It took two viral stories, a grieving donor mother, a nonprofit, and Mark Cuban to fix it. The happy ending is the problem: nobody should need an audience, influence, or a billionaire to get healthcare.
Doctors Arenโt Unable to Treat Their Patients. Theyโre Being Blocked.
Doctors know how to treat their patients. Increasingly, theyโre being blocked from doing it. After decades in patient advocacy, Iโm realizing that patients and physicians may be fighting different sides of the same healthcare battle.
The Denial Machine: Why Americaโs 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 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, womenโs health, and capital incentives collide inside American healthcare.
Out of Patients EP452:You Shouldnโt 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? Hereโs What They Hope You Never Learn.
Most people assume an insurance denial is the end of the story. It isnโt. 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 Theyโre 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 Thereโs 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 Theyโre the Good Guys. Then the CEO Called Wrongful Death Lawsuits โOne-Offs.โ
UnitedHealthcare invited journalists to headquarters to burnish its image. Then its CEO dismissed wrongful death lawsuits as โone-offs.โ 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 yearโs image tells a bigger story than the science alone. It captures the people, conversations, and growing realization that the next challenge in cancer care isnโt discovery. Itโs making sure patients can reach it.
The Deadliest Part of American Healthcare Might Be the Waiting
A retired firefighterโs 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. Thatโs not evidence of empowerment. Itโs 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 Americaโs 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 Iโd 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! ๐
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.