July 22, 2025

Out of Patients EP411: The Cancer Fun House: Michele Andrews

Out of Patients EP411: The Cancer Fun House: Michele Andrews

Michelle Andrews has seen behind the curtain. She helped launch Rituxan in the 90s. She watched the very first pharma commercial hit TV. She’s built campaigns, wrangled strategy decks, and sat at the big-kid table in rooms where the patient was always missing. Then she got stage 4 breast cancer and became the customer of the industry she helped build.

You don’t walk away from that unchanged.

I wanted Michelle on Out of Patients because she speaks fluent Pharma and fluent Fucksometer. She’s not interested in soft landings or inspirational hashtags. She’s a semi-feral GenXer who survived the cancer fun house and came out swinging—calling out the absurdity of wheat-field brochures, purple pill sorters, and patient “journeys” that feel more like white-knuckled crash landings.

We talked about her early days at Genentech, being gaslit by marketing teams who never met a patient, and what it feels like to be handed a journal while circling the drain. She told me why she fires doctors who don't get her vision, and why patients need to walk out of bad waiting rooms without apologizing.

If you work in healthcare, you need to hear her. If you’ve survived it, you already know her. She’s not looking to inspire. She’s here to call bullshit—and build something better.