{"id":10975,"date":"2026-01-26T10:00:00","date_gmt":"2026-01-26T10:00:00","guid":{"rendered":"https:\/\/medical-article.com\/?p=10975"},"modified":"2026-01-26T10:00:00","modified_gmt":"2026-01-26T10:00:00","slug":"an-arm-and-a-leg-charity-care-nonprofit-scales-up-and-doubles-down","status":"publish","type":"post","link":"https:\/\/medical-article.com\/?p=10975","title":{"rendered":"An Arm and a Leg: Charity-Care Nonprofit Scales Up and Doubles Down"},"content":{"rendered":"<p>As premium payments for Affordable Care Act insurance plans soar and cuts to Medicaid start to affect hospitals and patients, many people in 2026 will need help paying medical bills. And charity care may be a solution.<\/p>\n<p>One group working on this is Dollar For, a nonprofit focused on helping people access the financial assistance that hospitals are legally required to offer patients who make less than a certain amount.<\/p>\n<p><em>An Arm and a Leg<\/em> host Dan Weissmann checks back in with Dollar For founder Jared Walker about how his small organization managed to help erase more than $55 million in medical bills last year while navigating difficult new funding challenges and ever-shifting political terrain.<\/p>\n<p>\tDan Weissmann<\/p>\n<p>\t\t\t<a href=\"https:\/\/twitter.com\/danweissmann\"><br \/>\n\t\t\t\t@danweissmann\t\t\t<\/a><\/p>\n<p>\t\t\t<a href=\"https:\/\/bsky.app\/profile\/danweissmann.bsky.social\"><br \/>\n\t\t\t\t@danweissmann.bsky.social\t\t\t<\/a><\/p>\n<p>\t\t\tHost and producer of &#8220;An Arm and a Leg.&#8221; Previously, Dan was a staff reporter for Marketplace and Chicago&#8217;s WBEZ. His work also appears on All Things Considered, Marketplace, the BBC, 99 Percent Invisible, and Reveal, from the Center for Investigative Reporting.\t\t<\/p>\n<h3>\n\t\tCredits\t<\/h3>\n<p>\tEmily Pisacreta<br \/>\n\tProducer<\/p>\n<p>\tClaire Davenport<br \/>\n\tProducer<\/p>\n<p>\tAdam Raymonda<br \/>\n\tAudio wizard<\/p>\n<p>\tEllen Weiss<br \/>\n\tEditor<\/p>\n<p>\t\t\t\t\tClick to open the Transcript\t\t\t\t<\/p>\n<p>\t\t\t\t\t\t<strong>Transcript<\/strong>: <strong>\u2018Sh**\u2019s wild\u2019: Scaling up, doubling down, and buckling in<\/strong>\t\t\t\t<\/p>\n<p><em>Note: \u201cAn Arm and a Leg\u201d uses speech-recognition software to generate transcripts, which may contain errors. Please use the transcript as a tool but check the corresponding audio before quoting the podcast.<\/em><\/p>\n<p><strong>Dan:<\/strong>\u00a0Hey there.\u00a0<\/p>\n<p>So, 2026! On New Year\u2019s Day, pretty much every morning news show had a not-so-good news story ready to go.<\/p>\n<p><strong>News anchor:<\/strong><strong>\u00a0This morning, more than 20 million Americans\u2026<\/strong><\/p>\n<p><strong>News anchor:<\/strong><strong>\u00a0\u2026will see healthcare premiums double, triple, or go even higher\u2026<\/strong><\/p>\n<p><strong>News anchor:<\/strong><strong>\u00a0\u2026after Congress failed to extend certain subsidies under the Affordable Care Act.<\/strong><\/p>\n<p><strong>Dan:<\/strong>\u00a0A lot of people will end up without insurance. Or with much crappier insurance, because they can\u2019t afford anything better. Or paying a lot more for insurance than they can afford. Or some combo platter.<\/p>\n<p>And because employer plans got more expensive too \u2014 and a bunch of employers weren\u2019t ready to pay more \u2014 lots of folks ended up with insurance from work that leaves them on the hook for more.<\/p>\n<p>All of it leaves a lot more people a lot more vulnerable this year to overwhelming bills: for insurance premiums, for medical care, for medicine.<\/p>\n<p>So: I thought it would be a good time to check in with one of the people who has given me the most inspiration, and has taught me the most about how we can push back against some of this.<\/p>\n<p>That would be Jared Walker, the founder of the nonprofit Dollar For.<\/p>\n<p>I first talked with Jared five years ago, right after he went super-viral on TikTok sharing a secret that was hiding in plain sight:\u00a0<\/p>\n<p><strong>Jared Walker:<\/strong><strong>\u00a0Most hospitals in America are nonprofits, which means they have to have financial assistance or charity care policies. This is gonna sound weird, but what that means is that if you make under a certain amount of money, the hospital legally has to forgive your medical bills.<\/strong><\/p>\n<p><strong>Dan:<\/strong>\u00a0Millions of people kept watching as Jared quickly demonstrated how to apply \u2014 and then wrapped up with an offer:<\/p>\n<p><strong>Jared Walker:<\/strong><strong>\u00a0I run a nonprofit that does this, so, uh, DM me and I will actually do it for you. Let\u2019s see if we can crush those medical bills.<\/strong><\/p>\n<p><strong>Dan:<\/strong>\u00a0Here\u2019s what Jared said to me a couple weeks later about that offer.\u00a0<\/p>\n<p><strong>Jared Walker:<\/strong><strong>\u00a0Yeah, that was, that really backfired. No, uh\u2026\u00a0<\/strong><\/p>\n<p><strong>Dan:<\/strong>\u00a0Thousands of people had gotten in touch to take him up on his offer. And Dollar For \u2014 a SUPER-tiny nonprofit that Jared had started to help people in his hometown of Portland, Oregon \u2014 suddenly had a bigger, national mission that Jared was scrambling to meet.<\/p>\n<p><strong>Jared Walker:<\/strong><strong>\u00a0?I\u2019m excited. We\u2019re gonna help a lot of people and, uh, hopefully we can get some funding to scale what we\u2019re doing because shit\u2019s wild.\u00a0<\/strong><\/p>\n<p><strong>Dan:<\/strong>\u00a0And it has been wild ever since.<\/p>\n<p>Talking with Jared over the last five years \u2014 and watching the Dollar For team scale up their ambitions and impact \u2014 it\u2019s been one of the most inspiring and eye-opening stories I\u2019ve ever seen.\u00a0<\/p>\n<p>?So I was excited to talk with Jared a little after New Years, to hear how things were looking to him in 2026.<\/p>\n<p>I\u2019d already seen the numbers: They helped people wipe out 55 million dollars worth of hospital bills in 2025 \u2014 a huge increase from the year before.\u00a0<\/p>\n<p><strong>Jared Walker:<\/strong><strong>\u00a0As far as impact goes, what we were able to do with the money that we raised, like we\u2019re rolling, like Dollar For is killing it<\/strong><\/p>\n<p><strong>Dan:<\/strong>\u00a0So I was surprised when Jared said: 2025 had been tough.<\/p>\n<p><strong>Jared Walker:<\/strong><strong>\u00a0We started the year with two of our biggest donors, basically just backing out.\u00a0<\/strong><\/p>\n<p><strong>Dan:<\/strong>\u00a0Some of the Trump administration\u2019s early disruptive moves\u2013 like trashing foreign aid\u2013 had led those donors to re-think their priorities. Dollar For lost half a million dollars \u2014 almost a third of their budget. Suddenly Jared found himself scrambling to replace it.<\/p>\n<p><strong>Jared Walker:<\/strong><strong>\u00a0Just trying to, to make up that, $500,000, gap was, uh, fun.<\/strong><\/p>\n<p><strong>Dan:<\/strong>\u00a0He managed to make up about two hundred thousand dollars. He says Dollar For didn\u2019t lay anybody off, but some people went to half time.<\/p>\n<p>As the year went on, more political news forced Jared and Dollar For to re-think *their* strategy for 2025. It was another scramble.<\/p>\n<p>Meanwhile, Dollar For kept setting new records \u2014 wiping out two-thirds more medical debt than the year before.<\/p>\n<p>It\u2019s left Jared and his colleagues thinking hard about how they chart their path in a world that\u2019s still changing fast.<\/p>\n<p>The story of where they\u2019ve been in the last year \u2014 and what they\u2019ve done across the last five years \u2014 continues to help me think about the big picture like nothing else. So it\u2019s a great place for this show to kick off 2026.<\/p>\n<p>This is An Arm and a Leg a show about why health care costs so freaking much and what we can maybe do about it. I\u2019m Dan Weissmann \u2014 I\u2019m a reporter, and I like a challenge. So the job we\u2019ve chosen on this show is to take one of the most enraging, terrifying, depressing parts of American life, and bring you a show that\u2019s entertaining, empowering, and useful.<\/p>\n<p>To go back to the beginning for a minute. When I first talked with Jared five years ago, he was already looking at the big picture. How big a difference it would make if more people actually got the charity care they qualified for. Here he is in January 2021.<\/p>\n<p><strong>Jared Walker:<\/strong><strong>\u00a0We\u2019ve had millions of people now that have declared bankruptcy over medical bills that they legally didn\u2019t even have to pay if they knew about this. And that\u2019s like \u2013 that should upset people.\u00a0<\/strong><\/p>\n<p><strong>Dan:<\/strong>\u00a0This is one reason I find Dollar For\u2019s work so compelling \u2014 along with their scrappy approach, and their accomplishments: from the start, they\u2019ve always made the scope and the stakes of our health care system\u2019s dysfunction so clear, so stark.\u00a0<\/p>\n<p>But \u2014 talk about scrappy \u2014 when I had that first talk with Jared, he was scrambling to respond to the messages pouring in \u2014 thousands of them. He was grabbing whoever he could for help.<\/p>\n<p><strong>Jared Walker:<\/strong><strong>\u00a0My niece is like 16. I was like, yo. Here\u2019s my credentials. Get on here and start replying to people.<\/strong><\/p>\n<p><strong>Dan:<\/strong>\u00a0Then, by the time I talked with him just a few months later, in the summer of 2021, he had taken incredible steps to start scaling up Dollar For, with help from dozens of volunteers.<\/p>\n<p>Including \u2014 especially \u2014 folks who heard about him on this show.<\/p>\n<p><strong>Jared Walker:<\/strong><strong>\u00a0I was just shocked at how many people were reaching out saying, I, I heard you on this podcast, I heard you \u2013 and I\u2019m like, well, I\u2019ve only been on one podcast, so I know it\u2019s this one.\u00a0<\/strong><\/p>\n<p><strong>Dan:<\/strong>\u00a0Honestly, this is another part of what makes Dollar For my favorite story. Because it shows how many people are ready to jump in and help.<\/p>\n<p>And how much people are ready to contribute: In just a few months, Jared and a volunteer army \u2014 including generals, a couple of wildly qualified folks who put in close to full-time hours for a while \u2014 had done something incredible.<\/p>\n<p>They\u2019d built Dollar For a website where anyone, anywhere in the country, could check to see if they qualified for financial assistance, and ask for help applying.<\/p>\n<p>Because every hospital sets its own criteria for who qualifies, setting up that system meant grabbing the charity-care policies from more than two thousand different hospitals, and coding all of the criteria into a database.\u00a0<\/p>\n<p>The website with that database went live in the summer of 2021 \u2014 less than six months after Jared first went viral on TikTok.<\/p>\n<p>He and his colleagues have been building and refining their operation ever since. And working towards making a big-picture difference.<\/p>\n<p>Last time I checked in with Jared, it was late 2024. Dollar For had put out a couple of research reports estimating the size of that big picture:\u00a0<\/p>\n<p>They found that less than a third of the people who qualified for charity care actually got their bills forgiven.\u00a0<\/p>\n<p>If all of those people actually got the charity care they qualified for, Dollar For found that would mean 14 billion dollars in hospital bills, in medical debt, would vanish.\u00a0<\/p>\n<p>14 billion dollars that hospitals could be forgiving under their own policies, every year.\u00a0<\/p>\n<p>Jared definitely noticed that that number, 14 billion dollars, dwarfed the amounts Dollar For had been able to address by working case by case. Like, they were closing in on clearing 32 million dollars in hospital bills that year. Which is a LOT for a tiny organization. Jared was like\u2026<\/p>\n<p><strong>Jared Walker:<\/strong><strong>\u00a0It sounds great, and then you see the 14 billion number and you\u2019re like, oh, shoot. What are we doing? What are we doing?<\/strong><\/p>\n<p><strong>Dan:<\/strong>\u00a0Jared and his colleagues had started a strategic planning process that would lead them to say: Let\u2019s focus on making a dent in that 14 billion dollars by advocating for new policies. Laws to make hospitals at least check to see if people are eligible for charity care before chasing them for bills they can\u2019t pay.<\/p>\n<p>And while they were planning, the ground beneath them started to shift.<\/p>\n<p>The Trump administration took office and among other things, immediately started slashing foreign aid.<\/p>\n<p><strong>?Newscaster 1: President Trump says he wants U-S-A-I-D, the relief agency, helping millions of people around the world to be shut down.<\/strong><\/p>\n<p><strong>Newscaster 2: Just yesterday, U-S-A-I-D employees in Washington were told to stay home.<\/strong><\/p>\n<p>Jared says some of his donors reset their priorities \u2014 to fill in gaps internationally. One of them finalized their decision just as Dollar For was wrapping up their first board meeting of 2025.\u00a0<\/p>\n<p><strong>Jared Walker:<\/strong><strong>\u00a0I get this email from our biggest donor saying, hey, we\u2019re gonna cut the 300K.\u00a0<\/strong><\/p>\n<p><strong>Dan: Oh wow.\u00a0<\/strong><\/p>\n<p><strong>Jared Walker:<\/strong><strong>\u00a0Um, and my board chair goes, Jared, what happened to your face? Is everything okay? And I was like, am I gonna tell my whole board right here right now that we just lost our biggest funder?<\/strong><\/p>\n<p><strong>Dan:<\/strong>\u00a0I asked Jared later by email: Hey, so did you spill the beans then? His response:<\/p>\n<p>\u201clol. I did not tell them in that moment. My thought process was \u2018 I don\u2019t want to end our first board meeting of the year with this bomb. We are all hyped on the new year\u2026 let\u2019s keep that energy. The board can\u2019t change this email\u201d<\/p>\n<p>Jared filled them in later, and started hustling to fill the budget gap. They kept working on their strategic plan through the first few months of 2025.<\/p>\n<p>By the spring, they were putting finishing touches on it \u2014 and then the news cycle intervened again.\u00a0<\/p>\n<p><strong>Jared Walker:<\/strong><strong>\u00a0We went into 2025 with this idea of we are going to do more policy work, we\u2019re going to push more policy, we\u2019re going to advocate for better charity care laws, and then\u2026 Medicaid cuts, right?<\/strong><\/p>\n<p><strong>Dan:<\/strong>\u00a0The Trump administration\u2019s big legislative proposal \u2014 the \u201cOne Big Beautiful Bill\u201d \u2014 aimed to offset big tax cuts in part with big cuts to Medicaid spending.\u00a0<\/p>\n<p><strong>Newscaster:<\/strong>\u00a0Republicans are looking to slash two trillion dollars \u2013 with a T\u2013 in long term spending. And Medicaid could be a target.<\/p>\n<p><strong>Dan:<\/strong>\u00a0And a ton of those Medicaid dollars go to hospitals.<\/p>\n<p><strong>Jared Walker:<\/strong><strong>\u00a0And when you are getting every single headline is \u2018Woe is me, we\u2019re a hospital, we\u2019re not gonna make it. You\u2019re gonna bankrupt hospitals\u2026\u2019<\/strong><\/p>\n<p><strong>Dan:<\/strong>\u00a0That was gonna make pushing new rules for hospitals \u2014 forcing them to be more generous \u2014 a tougher sell.<\/p>\n<p>And here\u2019s where these two stories \u2014 Dollar For gets hit by big, fast-moving changes in 2025, and two: Dollar For wipes out a lot more medical debt than ever before in 2025 \u2014 we\u2019re gonna see where they intersect.<\/p>\n<p>That\u2019s coming right up.<\/p>\n<p>This episode of An Arm and a Leg is a co production of Public Road Productions and KFF Health News.\u00a0 That\u2019s a nonprofit newsroom covering health issues in America.\u00a0<\/p>\n<p>With all of these big-picture changes \u2014 like cuts to Medicaid \u2013Dollar For decided to pivot.\u00a0<\/p>\n<p><strong>Jared Walker:<\/strong><strong>\u00a0we kind of slowed down and said, okay, if people are gonna lose Medicaid, if people are gonna, if their insurance premiums are gonna go up, if all these things, what we need to do is we need to double down on direct service and help more as many patients as we can because the appetite for policy change might not be there.<\/strong><\/p>\n<p><strong>Dan:<\/strong>\u00a0They had a communications and marketing team who had planned to spend the year pushing Dollar For\u2019s policy message.<\/p>\n<p>Instead, they focused on spreading the word about charity care and Dollar For. Pitching Jared to reporters. It worked. He says he was featured in more than 90 news stories before the year was out.\u00a0<\/p>\n<p><strong>Jared Walker:<\/strong><strong>\u00a0I was on more podcasts than I\u2019ve ever been on, ever, doing local news stuff. So the marketing team was cooking pretty good as far as getting the word out.<\/strong><\/p>\n<p><strong>Dan:<\/strong>\u00a0That meant more folks coming to Dollar For looking for help with charity care. Which is one thing that drove up the number of people Dollar For was able to help.<\/p>\n<p>The other was the payoff on a long-term investment.\u00a0<\/p>\n<p>In the spring of last year they finished a project they\u2019d been working on for a long time: Making it easy for patients to fill out a charity care application directly on Dollar For\u2019s website.\u00a0<\/p>\n<p><strong>Jared Walker:<\/strong><strong>\u00a0A patient goes to dollarfor.org. They fill out household size income, what hospital it tells \u2019em if they\u2019re eligible. If they are, it bounces them right into a digital application. They can do that on their phone, tablet, computer. They\u2019re filling it out and it is automatically mapping their data into the correct hospital form.<\/strong><\/p>\n<p><strong>Dan:<\/strong>\u00a0This is the big upgrade:\u00a0 I don\u2019t have to follow a link to the hospital\u2019s website and find their form. I don\u2019t have to print anything out.\u00a0<\/p>\n<p>I\u2019m staying on Dollar For\u2019s user-friendly site, answering questions from my hospital\u2019s application form \u2014 because every hospital\u2019s form is different, and some ask for more information than others, the back-end work by Dollar For to give me the right questions? That\u2019s a big deal.<\/p>\n<p>And: The Dollar For team is putting those questions to me in plain, user-friendly English. Which not every hospital form necessarily does. If I get stuck, I message the Dollar For team to get help, directly.<\/p>\n<p>When I\u2019m done, it shows me the results and says:<\/p>\n<p><strong>Jared Walker:<\/strong><strong>\u00a0Here\u2019s your completed application. Does everything look good? thumbs-up it, we submit it to the hospital, and then we do follow up from there<\/strong><\/p>\n<p><strong>Dan:<\/strong>\u00a0Jared says they also created a portal where patients can check on the status of their application, and jump right into a chat with a patient advocate.<\/p>\n<p>I was like: You know, that\u2019s pretty impressive. Your year did not totally suck.\u00a0<\/p>\n<p><strong>Jared Walker:<\/strong><strong>\u00a0Yeah. It is honestly like, you\u2019re like reminding me of, I\u2019m like, oh yeah, we did some, we did some really cool stuff last year.?<\/strong><\/p>\n<p><strong>Dan:<\/strong>\u00a0And he sees room for new tech to help them get even more efficient \u2014 yes, with help from AI.\u00a0<\/p>\n<p><strong>Jared Walker:<\/strong><strong>\u00a0?And like, we\u2019re very much in the camp of this is a great tool, it\u2019s not gonna solve all of our problems<\/strong><\/p>\n<p><strong>Dan:<\/strong>\u00a0But he does see a few areas where it could help.\u00a0<\/p>\n<p>Including \u2014 helping his team do something they actually haven\u2019t had the capacity, like the time, to do yet: quality control on the documents patients submit with their applications\u2013 like proof of income.\u00a0<\/p>\n<p><strong>Jared Walker:<\/strong><strong>\u00a0Sometimes people accidentally upload a, you know, a picture of their cat instead of their, you know, W2 or, or whatever. So if we could have an AI tool, scan the document and make sure that it matches with what they said\u2026<\/strong><\/p>\n<p><strong>Dan:<\/strong>\u00a0And flag situations where\u00a0 a human at Dollar For should take a look before sending it in\u2026<\/p>\n<p><strong>Jared Walker:<\/strong><strong>\u00a0that would also save us a bunch of back and forth with the hospital and the patient<\/strong><\/p>\n<p>Dan: In other words, save time for everyone. And maybe help Dollar For\u2019s rep with hospitals.<\/p>\n<p><strong>Jared Walker: It kind of makes us look bad if we send documents to a hospital and it\u2019s a photo of somebody\u2019s cat, you know?<\/strong><\/p>\n<p><strong>Dan:<\/strong>\u00a0That would cost money \u2013 Jared estimates a quarter of a million dollars, including the cost of adding Dollar For\u2019s first full-time CTO.<\/p>\n<p>Meanwhile, they haven\u2019t stopped pushing for policy change. In 2025, Dollar For published a study that kind of turned the telescope around on the question it had addressed the year before. If hospitals gave financial assistance to everyone who qualified, they\u2019d found it would save patients 14 billion dollars a year.<\/p>\n<p>This time, they asked: how much of a hit would that 14 billion dollars be to the bottom line for America\u2019s hospitals? How much of their income would they be losing?<\/p>\n<p>Dollar For\u2019s answer: zero point seven percent.\u00a0<\/p>\n<p><strong>Jared Walker:<\/strong><strong>\u00a0Like, this is like a fraction of, a fraction of what these hospitals bring in.\u00a0<\/strong><\/p>\n<p><strong>Dan:\u00a0<\/strong>Not all hospitals, as Jared is quick to note.<\/p>\n<p><strong>Jared Walker:\u00a0<\/strong><strong>Like, there\u2019s, you know, 8,000 hospitals in America and they\u2019re not all equal. There are big hospitals, there are small hospitals. Obviously, it\u2019s very hard to, you know, generalize these things.<\/strong><\/p>\n<p><strong>Dan:<\/strong>\u00a0Like we\u2019ve talked about here before: Some hospitals really ARE on the verge of going under. And some have profit margins of more than thirty percent. And there\u2019s everything in between.\u00a0<\/p>\n<p>But here\u2019s the number that really jumped out at me from that Dollar For report. It\u2019s not just the amount of charity care that hospitals withhold is basically tiny compared to their overall revenue.\u00a0<\/p>\n<p>The total amount of income hospitals get directly from patients\u2019 pockets \u2014 all the bills I hear about on this show, and that we all know are out there, the bills that drive people into debt, into bankruptcy\u2026<\/p>\n<p>All of that money, all of that suffering represents just 2.5% of what hospitals get paid for care, according to KFF data that Dollar For cites Two point five percent.\u00a0<\/p>\n<p>I don\u2019t have a really deep insight here, but this number jolts me back to awareness of how big this health-care industrial complex is. And how much its dysfunction costs our whole society.\u00a0<\/p>\n<p>Like, zoom out. We spent five TRILLION dollars a year on this stuff \u2014 and so many people still don\u2019t get the health care they need.<\/p>\n<p>It reminds me that \u2014 along with understanding ways we can help ourselves and each other \u2014 individual, day-to-day ways \u2014 it\u2019s important to understand why health care costs so freaking much. Where all that money goes, what we can maybe do about it.<\/p>\n<p>Meanwhile, back to Jared and how he sees things going in 2026.\u00a0<\/p>\n<p><strong>Jared Walker:<\/strong><strong>\u00a0Health care is going to get worse. Health care is going to be more unaffordable than it was. Health care is going to put more people into bankruptcy, more people into a bad financial situation.\u00a0<\/strong><\/p>\n<p><strong>Dan:<\/strong>\u00a0Which makes the need for Dollar For\u2019s work more obvious. Dollar For isn\u2019t in danger of going away.<\/p>\n<p>But all of the rapid change in the last year \u2014 the accomplishments and the setbacks \u2014 has Jared thinking hard about how to keep moving forward over the long haul.<\/p>\n<p><strong>Jared Walker:<\/strong><strong>\u00a0Dollar For has just been so scrappy. We\u2019ve just been so scrappy, you know. I don\u2019t want to be the, you know, the unpaid intern organization that\u2019s just like, you know, burning everybody out. I want to be able to pay people well. I wanna be able to provide incredible healthcare benefits. I wanna be able to have a 401k match. Like, I want people to thrive at Dollar For.<\/strong><\/p>\n<p><strong>Dan:<\/strong>\u00a0That\u2019s how you make sure people can stick around and keep growing, and figuring out how to make the biggest impact in a wild environment.\u00a0<\/p>\n<p>As we wound up our conversation, I wanted to tell Jared about how An Arm and a Leg\u2019s 2025 had gone. Partly because I thought it might cheer him up a little bit.<\/p>\n<p>So I told him about how a medical student named Thomas Sanford had put together a resource guide for patients based on our reporting, and started handing it out. How other listeners had been helping refine it.<\/p>\n<p>How we\u2019d put a version on our website \u2014 prompted by Thomas\u2019s idea that health care workers could decorate the \u201cbadge reels\u201d on their lanyards with a QR code patients could scan.\u00a0<\/p>\n<p><strong>Jared Walker:<\/strong>\u00a0<strong>Yeah. Putting it on the lanyard. I love it. And it is just something that we need more of is like, how do we empower the patient and the healthcare worker and the people that are, you know, up to fight it.<\/strong><\/p>\n<p><strong>Dan:<\/strong>\u00a0That\u2019s it right there. The place we\u2019re in right now \u2014 just with health care, the big picture can look really scary. Trying to take on the whole thing \u2014 heck, just trying to take\u00a0<em>in<\/em>\u00a0the whole thing, the big picture\u2013 it\u2019s a lot.\u00a0<\/p>\n<p>And it doesn\u2019t mean we stop trying. But we\u2019re not individually responsible for fixing the whole thing right away. And we can find things to do \u2014 ways to help ourselves and each other IN THE MEANTIME.<\/p>\n<p>Like by using the kinds of things we learn here to take a little more control over our own lives \u2014 and helping other people take control over theirs.<\/p>\n<p>We spent a lot of the last couple of months asking you to help us keep doing our work\u2013 and you really came through. A lot of you included notes with your donations, incredible, heartening notes.<\/p>\n<p>I\u2019m gonna share one here \u2014 we actually shared it in the First Aid Kit newsletter last week \u2014 but I\u2019m repeating it because it illustrates something:<\/p>\n<p>\u201cThis amount, $85.23, is the amount I avoided paying because you taught me how to take notes when speaking to my insurance company, always getting the name of the representative and the call reference number.\u201d<\/p>\n<p>And here\u2019s what I take from that: Every time any of us gets back a little capacity \u2014 saves a little money, saves some worry \u2014 from a system that threatens to overwhelm us\u2026<\/p>\n<p>That\u2019s capacity we can put to use. To nourish ourselves and each other. To bank some new strength. And things that seem small \u2014 saving 85 dollars. Telling someone about Dollar For and helping them connect to charity care.\u00a0 There\u2019s no way to know if they\u2019ll add up to ENOUGH to move ourselves toward the structural change we need. But every bit truly does count.<\/p>\n<p>So: Thank you again. For listening. For sharing what you know \u2014 I learned about Dollar For because listeners to this show saw Jared\u2019s TikTok and made sure to tell me about it.\u00a0 And for doing what you can for yourself, and your family, and the people around you.\u00a0<\/p>\n<p>We\u2019ll have a new episode for you in a few weeks.\u00a0\u00a0<\/p>\n<p>Till then, take care of yourself.<\/p>\n<p>This episode of An Arm and a Leg was produced me, Dan Weissmann, with help from Emily Pisacreta \u2014 and edited by Ellen Weiss.\u00a0<\/p>\n<p>Adam Raymonda is our audio wizard.<\/p>\n<p>Our music is by Dave Weiner and Blue Dot Sessions.\u00a0<\/p>\n<p>Claire Davenport is our engagement producer.<\/p>\n<p>Sarah Ballema is our Operations Manager. Bea Bosco is our consulting director of operations.\u00a0<\/p>\n<p>An Arm and a Leg is produced in partnership with KFF Health News. That\u2019s a national newsroom producing in-depth journalism about health issues in America and a core program at KFF, an independent source of health policy research, polling, and journalism.<\/p>\n<p>\u00a0Zach Dyer is senior audio producer at KFF Health News. He\u2019s editorial liaison to this show.<\/p>\n<p>An Arm and a Leg is distributed by KUOW, Seattle\u2019s NPR news station.<\/p>\n<p>And thanks to the Institute for Nonprofit News for serving as our fiscal sponsor.<\/p>\n<p>They allow us to accept tax-exempt donations. You can learn more about INN at INN.org.<\/p>\n<p>Finally, thank you to everybody who supports this show financially.<\/p>\n<p>You can join in any time at arm and a leg show, dot com, slash: support.<\/p>\n<p><em>[Names redacted for web transcript.]<\/em><\/p>\n<p><em>\u201cAn Arm and a Leg\u201d is a co-production of KFF Health News and Public Road Productions.<\/em><\/p>\n<p><em>For more from the team at \u201cAn Arm and a Leg,\u201d subscribe to its weekly newsletter,\u00a0<a href=\"https:\/\/armandalegshow.com\/first-aid-kit\/\">First Aid Kit<\/a>. You can also follow the show on\u00a0<a href=\"https:\/\/www.facebook.com\/armandalegshow\/\">Facebook<\/a>,\u00a0<a href=\"https:\/\/www.instagram.com\/armandalegshow\/?hl=en\">Instagram<\/a>,\u00a0<a href=\"https:\/\/www.linkedin.com\/company\/an-arm-and-a-leg\/\">LinkedIn<\/a>, and\u00a0<a href=\"https:\/\/bsky.app\/profile\/armandalegshow.bsky.social\">Bluesky<\/a>. And if you\u2019ve got stories to tell about the health care system, the producers would love to\u00a0<a href=\"https:\/\/armandalegshow.com\/contact\/\">hear from you<\/a>.<\/em><\/p>\n<p><em>To hear all KFF Health News podcasts, <a href=\"https:\/\/kffhealthnews.org\/news\/tag\/podcast\/\">click here<\/a>.<\/em><\/p>\n<p><em>And subscribe to \u201cAn Arm and a Leg\u201d on <a href=\"https:\/\/open.spotify.com\/show\/3wBgLSbYPKT3gnd9KGjz5t?si=jEMzB2soS_ayOsYbK0cmnQ\">Spotify<\/a>, <a href=\"https:\/\/podcasts.apple.com\/us\/podcast\/an-arm-and-a-leg\/id1438778444\">Apple Podcasts<\/a>, <a href=\"https:\/\/play.pocketcasts.com\/web\/discover\/podcast\/6e9e33e0-b911-0136-7b93-27f978dac4db\">Pocket Casts<\/a>, or wherever you listen to podcasts.<\/em><\/p>\n<p><a href=\"https:\/\/kffhealthnews.org\/about-us\">KFF Health News<\/a> is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF\u2014an independent source of health policy research, polling, and journalism. Learn more about <a href=\"https:\/\/www.kff.org\/about-us\/\">KFF<\/a>.<\/p>\n<h3>USE OUR CONTENT<\/h3>\n<p>This story can be republished for free (<a href=\"https:\/\/kffhealthnews.org\/news\/podcast\/an-arm-and-a-leg-podcast-charity-care-nonprofit-dollar-for-medical-bills\/view\/republish\/\">details<\/a>).<\/p>","protected":false},"excerpt":{"rendered":"<p>As premium payments for Affordable Care Act insurance plans soar and cuts to Medicaid start to affect hospitals and patients, many people in 2026 will need help paying medical bills. And charity care may be a solution. One group working on this is Dollar For, a nonprofit focused on helping people access the financial assistance&#8230;<\/p>\n","protected":false},"author":0,"featured_media":10976,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-10975","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articles"],"_links":{"self":[{"href":"https:\/\/medical-article.com\/index.php?rest_route=\/wp\/v2\/posts\/10975"}],"collection":[{"href":"https:\/\/medical-article.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medical-article.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"replies":[{"embeddable":true,"href":"https:\/\/medical-article.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=10975"}],"version-history":[{"count":0,"href":"https:\/\/medical-article.com\/index.php?rest_route=\/wp\/v2\/posts\/10975\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medical-article.com\/index.php?rest_route=\/wp\/v2\/media\/10976"}],"wp:attachment":[{"href":"https:\/\/medical-article.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=10975"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medical-article.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=10975"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medical-article.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=10975"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}