This Saturday:

Hey friend 👋, care shows up in the strangest places

A pair of debt collectors who now buy medical bills just to erase them. A doctor writing prescriptions for vegetables. A nurse on horseback in the Kentucky snow, delivering babies where there were no doctors.

Sit back, relax, and enjoy the reading.

💬 Cared About Online

The two collectors who switched sides

For years, Jerry Ashton and Craig Antico did the same work: chasing people for the medical bills they couldn't pay.

In 2014, they walked away and did something stranger with what they knew. They started buying medical debt themselves.

The mechanics are almost funny. On the open market, unpaid medical debt sells for pennies, so a single dollar in the right hands clears about a hundred dollars of it.

Their nonprofit, Undue Medical Debt, buys it in bulk and erases it. No repayment, no catch, funded entirely by strangers.

John Oliver once turned a $60,000 bit on late-night TV into $15 million of relief.

A book publicist named Casey McIntyre arranged, before she died of cancer, a fund that raised over $1 million from strangers after she was gone, enough to erase more than $100 million of medical debt.

This is her original tweet that is live up to this date.

To date they've abolished more than $25 billion for over 15 million Americans. Which means somewhere tonight, a person who will never learn your name made sure you'll open one fewer terrifying envelope.

📈 Care Trends

The prescription you fill at the grocery

Picture a patient with diabetes leaving the clinic holding a prescription. It's for produce, and their health plan pays for it. They fill it at a grocery store or a farmers market.

This is Food is Medicine, and it's moving fast from the fringe into real policy.

States and insurers are starting to cover produce prescriptions and medically tailored meals for people with diet-related illness.

New research from the Rockefeller Foundation, released in 2026, put hard numbers on it: medically tailored meals, offered to everyone who qualifies, could prevent 2.6 million hospital stays and save $23.7 billion a year.

The wider movement could generate $45 billion in economic activity and put real money into small farms.

For a century we kept food and medicine in separate buildings.

The shift now is the system circling back to the oldest idea in care, that feeding someone well is a way of treating them.

This is exactly the kind of turn Care to Know exists to notice: not a new drug, just a very old truth getting a billing code.

📈 Caring in the Wild West

The nurses who rode into the mountains

In 1925, Leslie County, Kentucky was about as far from a hospital as you could get in America.

Deep in the Cumberland Mountains, no paved roads, no railroad, no doctors, and mothers who too often died in childbirth for lack of anyone to help.

A woman named Mary Breckinridge rode in on horseback and built the Frontier Nursing Service.

Her nurse-midwives traveled by horse through creeks and snowdrifts, saddlebags packed with medicine, expected to reach any patient within an hour in any weather. A family paid a dollar a year.

In a place with almost nothing, they delivered 14,500 babies with only 11 mothers lost, a maternal death rate far below the national average. In their first thousand births, not one mother died.

When Metropolitan Life studied them, it concluded that if the rest of the country cared for mothers the same way, it would save 10,000 of them a year.

Their whole advantage was simple: they showed up, on horseback, in the dark, for a dollar a year. A hundred years later, that's still the hardest part to copy.

Before you go

Three stories, a hundred years and a thousand miles apart, and the same quiet thing underneath all of them:

somebody deciding to care when nothing and no one made them. That's the whole beat of this newsletter, and honestly it's the reason we build what we build at Tabflows.