Reviving Appalachia Through Medical Debt Relief
Every dollar you donate forgives $100 in Medical Debt


To date, we have abolished over $276 million of medical debt in Appalachia! Thank you so much to all our campaign supporters.
In the past forty years, medical costs have doubled, insurance copays and deductibles have spiked, and bankruptcy rates have quadrupled, creating an avalanche of destructive medical debt. More than 60% of bankruptcies in America have medical debt as a root cause, and the situation is especially dire in Appalachia.
A recent study showed that in Appalachia, out-of-pocket healthcare costs are 40% higher than the national average, and this year almost every state in Appalachia suffered a decline in insurance coverage—sure to make things worse.
Nearly one in five people in Appalachia are in poverty, and medical debt makes that poverty impossible to escape. Medical debt destroys a family’s credit rating; denying access to loans, an apartment, and even a job. People in medical debt are less likely to seek medical care or fill prescriptions so that, in the end, medical debt not only destroys well-being and economic security, it can kill.
With its strong work ethic and abundant natural resources, Appalachia fueled America’s prosperity. From the Great Smoky Mountains to Davy Crockett, Appalachia has formed America’s cultural image. Musicians like Ralph Stanley and Dolly Parton defined American music.
While medical debt has affected all of America, it is especially tragic that the medical debt crisis has hit Appalachia so hard; an area that has given so much to the country.
How You Can Help
RIP Medical Debt donors, Jim and Sharen Branscome, have taken a big first step by abolishing $8 million of medical debt in the region. They’ve decided to continue their support by organizing this crowdfunding campaign that will focus on medical debt relief in Appalachia perpetually. With $240 million of medical debt available and growing in the region, the circumstances are right for a massive philanthropic opportunity.
When debt relief recipients open the yellow envelope from RIP, they are told that their debt has been bought by a third party and erased with no strings attached. They owe nothing on the debt and face no tax penalty.
Every dollar you contribute is a $100 investment in Appalachian towns and cities. Money will stay in the community instead of being taken by out-of-state debt collectors. On average, $16 can abolish the medical debt of an entire family, allowing them to invest in a home, schooling, or retirement.
“I read my letter over a few times to make sure it was the real thing. Receiving this debt relief renewed my faith that I can get back on track. It jump-started it – that we can do this – I can get back in the game! It’s unheard of what RIP does, and it’s a game changer in the medical world. It’s a game changer for me.”
— Reagan, RIP Medical Debt Recipient of Debt Relief
Campaign Support Recipients
- Recent Donations
- Beth K. just donated $75
- Emily G. just donated $25.85
- Anonymous just donated $102.77
- Anonymous just donated $25.85
- Sam T. just donated $25
- Sarah Jane O. just donated $50
- Nigel J. just donated $50
- Anonymous just donated $10.46
Fundraise for This Campaign
Start a fundraiser to help those in need. Set a personal fundraising goal and track online donations easily with RIP.

How RIP Works
Over a hundred million Americans, one in three, struggles with the weight of medical debt.
Here’s how we lift them up.
You make a donation
With every donation, RIP uses its precise data analytics to pinpoint the medical debt of those most in need of relief: households whose incomes are less than four times the federal poverty level guideline or with medical debt representing at least 5% of gross income.
RIP buys medical debt at a steep discount
Your donations allow us to buy debt in bundled portfolios, millions of dollars at a time at a fraction of the original cost. On average, whatever you donate has 100x the impact.
Together we wipe out medical debt
People across the country receive a letter that their debt is gone. No taxes. No penalties. Just like that, they’re free of medical debt.