Transform public outrage into lasting policy

Medium - Requires some preparation Recommended

I remember the day I got the call from the nurses’ union. They’d heard my op-ed and wanted to turn that spark into a movement. We sat in a church basement with patient advocates, clergy, and a lawyer from Legal Aid. Coffee cups percolated in the corner as stories spilled out: a single dad garnished, a pastor’s wife evicted. They didn’t have scripts—just raw despair. I suggested: “Let’s host a town hall, publish their stories, then ask the state to ban liens on homes.” We recorded the session, posted it on Facebook, and proposed a petition. Within weeks we had 5,000 signatures from nurses, patients, churchgoers, even a few local bankers. A sympathetic state senator took up our cause, drafting a bill to cap garnishments and require presumptive charity-care screening. This moment taught me that public outrage, when channeled into a broad coalition and clear asks, can bend the arc of policy toward justice.

You can start by calling one or two community groups—nurses, clergy, patient advocates—to join you for a virtual forum. Gather a few real-life testimonies, then livestream a town hall and collect viewer signatures on a simple bill petition. That digital petition becomes a talking point for legislators. It’s a direct line from outrage to reform—try setting it up by next Wednesday.

What You'll Achieve

You’ll learn to turn outrage into action—internally, gaining confidence in civic leadership; externally, building diverse alliances that create real legislative change to protect patients.

Build coalition-based campaigns

1

Identify diverse allies

List at least five groups affected by medical debt—patients, nurses, doctors, pastors, unions, clergy. Contact their local chapters to share concerns.

2

Gather real patient stories

Collect three anonymized narratives of people harmed by debt collection—focus on emotional impact and financial stress to humanize data.

3

Host a public forum

Organize a virtual town hall with speakers (a legal aid lawyer, a nurse, a former debtor). Record and share highlights on social media.

4

Launch a state-level petition

Write a short petition demanding specific legislative reforms (e.g., ban liens, require screening). Circulate online and offline to thousands of signatures.

Reflection Questions

  • Who in my network would be an unexpected but powerful ally?
  • What personal story of medical debt can I help share to humanize the issue?
  • What’s one specific policy ask that could become this campaign’s cornerstone?

Personalization Tips

  • At your church, invite members to share personal experiences of medical debt during a Sunday forum.
  • For a professional society, dedicate a conference panel to the legal and human sides of patient lawsuits.
  • If you’re a union steward, propose a joint resolution with management to incorporate medical debt relief into contract talks.
Your Money or Your Life
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Your Money or Your Life

Joe Dominguez, Vicki Robin 1992
Insight 8 of 8

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