Objective
Make Healthcare Affordable
CVS Health (Aetna / Caremark)
CVS Health operates the largest pharmacy chain in the U.S., owns Aetna health insurance, and runs CVS Caremark, one of the biggest pharmacy benefit managers in the country.
Why this is a target
The combination of retail pharmacy, insurance, and PBM under one roof makes the affordability harm narrative especially compelling. CVS has one of the most powerful consumer-facing surfaces of any healthcare company — retail pharmacies in nearly every community, plus insurance and PBM. Consumers can switch pharmacies immediately to Walgreens, Walmart, Costco, or independents.
Alternatives
Do your own research. We provide sources so you can verify and decide for yourself.
Pledges you can make
Removing the CVS app reduces engagement metrics and eliminates the digital touchpoint CVS uses to drive pharmacy refills, ExtraCare loyalty spending, and front-store purchases. It signals disengagement from their retail ecosystem.
CVS's ExtraCare program drives repeat visits and provides valuable consumer data that CVS monetizes. Stopping use withdraws both your spending signal and the data revenue tied to your purchase history.
CVS stores generate significant revenue from general merchandise, health products, and beauty items — all of which can be purchased elsewhere. Redirecting this spending to independent retailers or competitors removes a meaningful consumer revenue stream.
Caremark and CVS pharmacies account for a massive share of CVS Health's retail revenue. Transferring your prescriptions to a local independent pharmacy, Costco Pharmacy, or Mark Cuban's Cost Plus Drugs directly reduces their dispensing volume.
Aetna is one of CVS Health's largest revenue drivers. Formally requesting that your HR department or union benefits committee evaluate and drop Aetna at the next plan renewal period applies direct pressure on the insurance arm.
Aetna contributes billions in premium revenue to CVS Health annually. Choosing a competing insurer during open enrollment is one of the highest-impact individual actions available, directly reducing the premium base Aetna depends on.
Objective
Improve Childhood Vaccine Confidence
TikTok (ByteDance US)
TikTok is a short-form video platform with over 170 million U.S. users, heavily used by young parents and caregivers for parenting advice and health information. Its algorithm-driven content discovery makes it a powerful vector for health misinformation.
Why this is a target
TikTok has massive direct consumer engagement especially among millennial and Gen Z parents. Users can delete the app and shift to alternative platforms. The algorithm-driven harm narrative — where the platform actively pushes misinformation to parents — is compelling and well-documented. High news coverage and congressional scrutiny add public awareness.
Sources
- https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2022.938377/full
- https://www.newsguardtech.com/special-reports/toxic-tiktok
- https://pmc.ncbi.nlm.nih.gov/articles/PMC11999813/
- https://www.childrenshospitals.org/content/public-policy/general-information/vaccinate-with-confidence
- https://www.aimspress.com/article/doi/10.3934/publichealth.2025010?viewType=HTML
- https://www.aap.org/en/patient-care/immunizations/communicating-with-families-and-promoting-vaccine-confidence/
- https://www.immunizationmanagers.org/content/uploads/2024/10/Connecting-the-Dots-Vaccine-Confidence_092424.pdf
- https://www.tiktok.com/@tracy_tysonmd/video/7649719839077993741
Alternatives
Do your own research. We provide sources so you can verify and decide for yourself.
Pledges you can make
Creator content is TikTok's primary product — without new videos, the platform loses the inventory it sells to advertisers. Withholding your content removes economic value from the platform.
TikTok One is a paid creator and business subscription service. Cancelling removes a direct revenue payment to ByteDance and signals reduced platform commitment.
Removing the app reduces TikTok's active user count and engagement metrics, which directly impacts its advertising revenue and platform valuation. It also stops ByteDance from collecting data from your device.
TikTok Coins are bought with real money and used to send virtual gifts to creators, generating direct revenue for ByteDance. Stopping purchases cuts off this income stream.
TikTok LIVE subscriptions are a direct recurring revenue stream for ByteDance. Cancelling removes your monthly payment from their income.
Advertising is TikTok's dominant revenue stream, accounting for the vast majority of its U.S. income. Redirecting ad spend to alternative platforms has the highest direct financial impact of any individual action.
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