
American healthcare, decoded by someone who survived it and never left. I track the money, name the actors, and document how delay and denial operate in real time. If you want polite takes, look elsewhere. If you want the truth with receipts, subscribe.
| Platform | Pricing | Freemium | Publishes | Daily | |
|---|---|---|---|---|---|
| Issues | 884 | Founded | 3 years ago | Last Issue | 3 days ago |
| Active | |||||

When I was 21 and going through treatment for brain cancer, my father kept a journal.
Calling it a journal may give it more literary ambition than Dad intended. He wasn’t sitting beside a fireplace reflecting on the fragility of life. He w...
Congress has already enacted new federal Medicaid work requirements. Beginning no later than January 2027, certain Medicaid expansion enrollees will have to work, attend school, volunteer, or participate in other qualifying activities for a...
Dr. Harold P. Freeman died this week, and I’ve been thinking about a strange privilege that comes with getting older in a movement: eventually you begin losing the people who built the world you walked into. I wasn’t Harold’s protégé, and I...
The first thing I wanted to know when I got home from brain surgery was whether I could still play the piano.
This probably requires some explanation, because there were objectively larger matters at hand. I was 21 years old. A tumor had j...
I found out there was something growing in my brain because the answering machine was blinking.
It was December 1995, and I was 21 years old. For months, my left hand had been slowly betraying me in ways that were becoming harder to explai...
Subscribers, engagement, traffic and sponsorship for Out of Patients with Matthew Zachary.
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The writers behind this newsletter.
Patient Rights Activist, Keynote Speaker and Author, We the Patients (Wiley 2026). 30 year brain cancer survivor. Host, healthcare's #1 independent podcast. Healthcare's Unfiltered Voice of Reason.
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