AMERICAN
HEALTHCARE
NOW IN MERCH

No Co-Pay Required.

If you have ever read an explanation of benefits and wondered whether the billing department was trained by Kafka. If your out of pocket maximum introduces itself before the Fourth of July. If you have stared at a denial letter and thought about turning it into papier mâché.

These came out of the brain of Matthew Zachary, a 30-year cancer survivor who turned decades of healthcare navigation into the Out of Patients podcast, a blog, and apparently snark merch.

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Year of the Patient 2026 T Shirt | Out of Patients Collection
from US$32.00
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Year of the Patient 2026 Hoodie | Out of Patients Collection
from US$48.00
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Health Insurance Fuckery Travel Mug | Out of Patients Collection
US$42.00
Health Insurance Fuckery Coffee Mug | Out of Patients Collection
US$32.00

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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.

Get the dispatch