The system still works exactly as designed. ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏
Matthew Zachary

Out of Patients with Matthew Zachary

The Dispatch You Love About The Healthcare You Hate

Here we go again!

March 2026

You opened this. Awesome!

(You may remember this newsletter as Explanation of Benefits. It now lives under Out of Patients.)

Expect periodic dispatches about the American healthcare experience as lived by actual humans.

Then get straight into the meat.

 

Partnership Announcement!

Read more at https://matthewzachary.com/codex
Use code ZACHARY for 15 percent off.

Tue, Mar 10

Yes, I Partnered With a Skincare Company. Here Is Why.

After 30 years of cancer survivorship, Matthew Zachary explains why he partnered with Codex Labs. This post explores radiation side effects, steroid driven treatment cycles, skincare regulation gaps,

 Read More 


Recently on the Pod

Tue, Mar 10

Out of Patients EP0434: Neuro Spicy on the Front Line: Dr Pamela Buchanan

ER physician Dr Pamela Buchanan spent 20 years inside American medicine and 2020 nearly broke her. She worked 80 to 100 hour COVID weeks, isolated from family, and faced emotional flatline head on. A

 Read More 

Tue, Mar 3

Out of Patients EP433: STEMM Cells and Broken Bones

Dr Eugene Manley survived 20 to 30 ER visits a year in 1980s Detroit, earned 3 science degrees, and later caught falsified records after surgery at Mount Sinai Queens. In EP433 he breaks down medical

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Recently on the Blog

Sat, Feb 28

An Open Letter (Again) to Mark Cuban on Behalf of American Patients

Mark Cuban walked into the Senate with spreadsheets and receipts. He called PBMs a cartel. He saved Medicare $2 billion. But math doesn't show up at town halls. Receipts don't vote. Here's the hole in

 Read More 

Wed, Feb 25

$1.7 Trillion Dollars. $54 Billion in Profits, 10 Million Fewer People.

In 2025, seven insurers generated $1.7 trillion in revenue and $54 billion in profit while covering 10 million fewer people. Premiums hit $26,993 for families. Public funding expanded. Consolidation

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Pre-Order The Book

Every year, tens of millions of Americans face illness. You know what’ll make you really feel sick? Prior authorizations, delays, denials, and appeals. In a system designed to protect profits over patients, it’s time for a second opinion.

 Pre-Order Today! 

One Night. New York.
Tuesday, April 28th

Thirty years ago I was given six months to live and told I would never play piano again after a decade of training. They were wrong. I am still here. And for the first time in 22 years, I am getting back behind the piano in a real concert hall to mark that anniversary and to launch my book, We The Patients.

I will play original music, read from the book, and invite a few people who have lived this alongside me to share the stage. I want to show what survival actually looks like over time. Not the polished version. The real one. This is an intimate benefit night built on art, memory, and hard truth, shared in a room with people who understand why any of this counts.

 Event Deails 


So I Made Something

Thirty years inside the system leaves a mark.

If you have argued with your health insurance company before 9 am, hit your deductible before MLK Day, or framed a denial letter in a shadow box out of spite, this one is for you.

I turned that experience into drinkware. It is direct. It is not polite. It is accurate.

Enter the store at your own discretion.

 Shop Out of Patients 


Join We The Patients

We are building the first coordinated single-issue voter bloc focused on access to care, accountability, and legal protections that prevent harm before it happens.

If you believe patients deserve standing in the system that governs their survival, join us!

 Event Deails 

Stay Loud With Me

You made it to the bottom!

Follow me on all the socials, rage with me against the machine, send this to someone currently fighting a billing department and don’t take any shit from anyone. So, let’s keep keep comparing notes until the system runs out of places to hide.

Links below. Join the noise.

 
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Matthew Zachary Worldwide
147 West 35th Street, Room 711
New York, NY 10001
USA

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