Stoic Times

January 21, 2026

How North Carolina erased medical debt for 2.5 million people

North Carolina Forgives $4 Billion in Medical Debt. 2.5 Million People Can Breathe Again.

North Carolina used federal pandemic relief funds to purchase and forgive approximately $4 billion in medical debt affecting 2.5 million residents. The state partnered with RIP Medical Debt, a nonprofit that buys medical debt at pennies on the dollar and forgives it. This represents the largest medical debt relief program by a state government to date.

Medical debt affects roughly 100 million Americans according to 2022 studies. Several states have begun similar programs: Connecticut forgave $1 billion in 2022, New Jersey allocated $10 million in 2023. The debt relief industry has grown significantly since 2014, when RIP Medical Debt was founded. Historically, debt forgiveness programs date back centuries - the concept of jubilee years appears in ancient texts, and the U.S. has seen major debt relief during the Great Depression and post-WWII periods.


If you live in North Carolina and have medical debt, check if you're eligible for this relief. For other states: contact representatives about similar programs, support organizations like RIP Medical Debt, or advocate for medical debt reform. If you have medical debt elsewhere, research nonprofit debt relief options and hospital charity care programs that already exist.

If you're a North Carolina resident with medical debt: check your eligibility. Otherwise, this demonstrates what's possible for other states - worth noting if you care about healthcare policy, but no immediate action needed.

Source: NPR

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