Getting into Good Trouble: A case study on getting started in organized physician advocacy

Abstract

The Good Trouble Coalition (GTC) was established in 2022 by healthcare and public health practitioners in Indiana, aiming to channel frustration into action amidst the politicization of public health issues during the COVID-19 pandemic. This paper focuses on the origins of GTC, detailing the motivations behind its formation, particularly the need to counter legislative attacks on public health and the patient-doctor relationship. It outlines the critical steps required to establish a nonprofit advocacy group, including gathering a multidisciplinary team, creating a mission statement, incorporating as a 501(c)(4), and securing funding and resources. Key actions taken by GTC in its first year include publishing an open letter against abortion bans, organizing legislative testimonies, engaging with media, and holding public protests. By sharing GTC’s journey, the paper aims to provide a roadmap for other healthcare professionals and public health workers interested in organizing for civic advocacy and promoting health equity.