When the Texas Organization of Rural and Community Hospitals came to Groundswell Health with a request to produce an ad for The Washington Post, the goal was clear: Motivate lawmakers to take action to support rural hospitals participating in Medicare Advantage. The challenge? Turning a complex healthcare policy issue — the effects of Medicare Advantage on rural hospitals — into something busy lawmakers and their staff could feel, understand, and act on.
Designing The Washington Post Ad
The design concept began with the phrase: “crushing rural hospitals.”
From that idea came a visual story, a businessman’s shoe, labeled Medicare Advantage, stomping on a tiny, isolated hospital in the middle of a barren landscape. The cracked asphalt and empty fields capture the financial pressure on rural hospitals across the country. And amid the stark landscape, one light remains on — the emergency room sign — symbolizing what’s truly at stake: access to life-saving care.
Every visual decision mattered. The shadowing, the color tone, the composition; each element was intended to communicate devastation and urgency with very few words.
@our.groundswell When policy feels abstract, design makes it real. This ad for The Washington Post turned a complex issue, Medicare Advantage's impact on rural hospitals, into a single powerful image. See how our designer, Dani Mondragon, did it:
♬ original sound - Our.Groundswell
Purpose-Driven Design
Every detail in a design, from a social media graphic to a lengthier whitepaper, should have purpose and intent. Design is more than color and font and making things look nice. Decisions about what to include…and what to exclude…are intentional. And there is a science behind placement of written content. Audience awareness is also paramount. A “shock-and-awe” ad targeting Congress still has to be tactful and respectful because ultimately effectiveness is the goal.
Not every design will appear in a national newspaper. But every design should be produced as if it will be.


See what else Groundswell Health is working on in healthcare >>
Episode 23 | Authenticx mines voice data to improve care
Authenticx built a platform to get to the heart of why patients are reaching out to customer service call
Failure to Thrive: Why Big Tech Can’t Make it in Health Care
Last week, following the news that Google Health is disbanding, a Healthcare IT News article asked the question, “Is healthcare
Time to Confront the Limits of Health Care
This country doesn’t like conversations about death. We created the term ‘death panels’ to avoid a much-needed national conversation
Health care leaders stepping up, take stand on vaccinations with staff
More hospital system CEOs are taking steps to end a troubling trend in vaccination hesitancy among hospital staff. Most recently,








