- Millions of Americans could lose health insurance over the next two years, increasing barriers to healthcare access.
- Healthcare access depends on more than insurance. Transportation, workforce capacity, and community support all play critical roles.
- Crypto communities are helping nonprofits raise funding quickly, transparently, and globally.
- Sostento’s new Crypto Community Fund for Healthcare Access is creating a new way for donors to help remove barriers to care.
How Can Crypto Communities Expand Healthcare Access?
Healthcare access depends on more than insurance coverage. Patients also need transportation, healthcare workers, and reliable support systems to receive timely care. As millions of Americans face potential coverage losses, Crypto Philanthropy is creating new opportunities to fund practical solutions that remove barriers to care.
When most people think about healthcare access, they think about health insurance.
But having insurance doesn’t always mean someone can get to a doctor’s appointment, receive preventative care, or maintain a relationship with a healthcare provider.
Transportation challenges, workforce shortages, and financial hardship continue to prevent millions of people from receiving the care they need.
At the same time, cryptocurrency philanthropy has matured into one of the fastest-growing forms of digital giving. According to The Giving Block’s 2026 Annual Report on Crypto Philanthropy, more than $100 million in cryptocurrency donations were processed in 2025, with Health & Medicine ranking among the most-supported causes.
One organization working at the intersection of these trends is Sostento, a nonprofit dedicated to removing barriers that prevent patients from accessing healthcare.
Building on this work, Sostento recently launched its Crypto Community Fund for Healthcare Access, a new initiative that invites the crypto community to help remove barriers to care for uninsured patients while showing how Crypto Philanthropy can expand healthcare access.
During an episode of This Week in Crypto Philanthropy, Karin Cassano and Darin Carter, members of Sostento’s Crypto Advisory Board, discussed how crypto communities, healthcare nonprofits, and digital philanthropy can work together to remove barriers to care and improve healthcare access.
Watch the full conversation to hear how Sostento is working with the crypto community to expand healthcare access.
Why Healthcare Access Is Becoming a Bigger Challenge
Healthcare organizations across the United States are preparing for significant changes over the next several years.
Federal projections estimate that more than 10 million Americans could lose health insurance between 2026 and 2027, placing additional pressure on healthcare providers, nonprofit organizations, and safety-net systems.
Healthcare Access by the Numbers
But insurance is only one piece of the puzzle.
Even patients with coverage can struggle to access healthcare because they cannot find transportation, reach available providers, or navigate an increasingly complex healthcare system.
That’s where Sostento focuses its mission.
Since 2019, the organization has helped patients overcome barriers to care through transportation support, workforce funding, training, and other practical interventions that strengthen healthcare access. Sostento has already helped provide more than 50,000 healthcare rides while supporting more than $4 million in workforce funding.
What Makes Crypto Communities Different?
One of the biggest takeaways from the conversation wasn’t about cryptocurrency.
It was about the people behind it.
Darin Carter described crypto communities as collaborative, mission-driven, and quick to respond when they identify real-world problems. Whether someone contributes a small amount or a transformational gift, every participant can help move a mission forward.
That culture is already changing nonprofit fundraising.
According to The Giving Block’s 2026 Annual Report on Crypto Philanthropy, one in five nonprofits using The Giving Block platform raised more than $100,000 in cryptocurrency donations during 2025. Crypto has become one of the fastest-growing major gift channels available to nonprofits.
Today’s crypto community is also broader than many people realize.
The 2026 State of Crypto Holders Report found that crypto ownership now spans every generation, income level, and region of the United States, with more holders using digital assets for everyday payments and charitable giving than ever before.
Why Fractional Giving Matters
One of the most memorable moments of the discussion came when Karin Cassano encouraged listeners to rethink what generosity looks like.
“I’m not even saying give a whole token. Just start giving fractionals.”
Crypto allows donors to contribute small portions of digital assets while still creating meaningful impact. Whether someone donates a little USDC or a fraction of appreciated Bitcoin, every gift helps nonprofits fund practical solutions for the communities they serve.
For many donors, giving appreciated cryptocurrency may also provide tax advantages compared to selling the asset first and donating cash. Depending on individual circumstances, donating crypto directly may help avoid capital gains taxes while potentially qualifying for a charitable deduction.
What Makes Crypto Communities Different?
One of the biggest takeaways from the conversation wasn’t about cryptocurrency.
It was about the people behind it.
Carter described crypto communities as collaborative, mission-driven, and quick to respond when they identify real-world problems. Whether someone contributes a small amount or a transformational gift, every participant can help move a mission forward.
That culture is already changing nonprofit fundraising.
According to The Giving Block’s 2026 Annual Report on Crypto Philanthropy, one in five nonprofits using The Giving Block platform raised more than $100,000 in cryptocurrency donations during 2025. Crypto has become one of the fastest-growing major gift channels available to nonprofits.
Today’s crypto community is also broader than many people realize.
The 2026 State of Crypto Holders Report found that crypto ownership now spans every generation, income level, and region of the United States, with more holders using digital assets for everyday payments and charitable giving than ever before.
Why Fractional Giving Matters
One of the most memorable moments of the discussion came when Cassano encouraged listeners to rethink what generosity looks like.
“I’m not even saying give a whole token. Just start giving fractionals.”
Crypto allows donors to contribute small portions of digital assets while still creating meaningful impact. Whether someone donates a little USDC or a fraction of appreciated Bitcoin, every gift helps nonprofits fund practical solutions for the communities they serve.
For many donors, giving appreciated cryptocurrency may also provide tax advantages compared to selling the asset first and donating cash. Depending on individual circumstances, donating crypto directly may help avoid capital gains taxes while potentially qualifying for a charitable deduction.
How Crypto Is Already Making a Difference
Healthcare is only one example of crypto creating real-world impact.
During the podcast, Cassano shared how members of her crypto community quickly came together after the devastating earthquakes in Turkey. Traditional financial systems were disrupted, but crypto made it possible for people around the world to send funds directly to someone affected by the disaster and verify that the assistance had arrived.
Carter shared a similar example from his time at Coinbase, where blockchain technology helped distribute humanitarian aid following the Haiti earthquake through transparent, trackable transactions.
These stories demonstrate why nonprofits increasingly view crypto as more than another payment method. It has become a practical tool for delivering aid when speed, transparency, and flexibility matter most.
How Sostento Is Bringing Crypto and Healthcare Together
Building on years of engagement with the crypto community, Sostento launched its Crypto Community Fund for Healthcare Access, creating a new way for digital donors to help remove barriers that prevent patients from receiving care.
The fund was developed alongside Sostento’s Crypto Advisory Board, bringing together leaders from across the crypto ecosystem who share a common goal: improving healthcare access while demonstrating the real-world impact of Crypto Philanthropy.
Rather than relying on a handful of major donors, Sostento is inviting 250 Founding Members to help establish the fund and build long-term support for uninsured patients.
Individuals can become Founding Members with a $1,000 charitable contribution, while couples can join with a $2,000 gift. Donations can be made using cryptocurrency, stock, donor-advised funds, or traditional payment methods.
Every contribution helps expand transportation assistance, workforce support, patient education, and other practical interventions that strengthen healthcare access.
As Cassano explained during the podcast:
“Crypto can be as individual as you want to make it.”
Learn more about the Crypto Community Fund for Healthcare Access and become one of its 250 Founding Members.
What Lessons Nonprofits Can Learn From Sostento?
Sostento’s approach offers several valuable lessons for organizations exploring digital fundraising.
Build communities, not campaigns.
The Crypto Community Fund is designed to create a community around a shared mission, giving supporters an opportunity to help shape the initiative while expanding healthcare access.
Meet donors where they already manage their wealth.
Today’s donors increasingly expect nonprofits to accept cryptocurrency, stock, and donor-advised funds alongside traditional giving options. Meeting donors where they already hold their assets creates a better giving experience.
Lead with human stories.
Technology attracts attention, but stories inspire generosity. Sostento’s focus on patients, healthcare workers, and real-world barriers helps donors understand the impact behind every contribution.
Focus on practical impact.
Patients don’t think about blockchain. They think about getting the care they need. The strongest fundraising campaigns show how innovation quietly solves real problems.
What Does the Future of Healthcare Philanthropy Look Like?
Healthcare organizations are facing growing challenges.
Increasing demand for services, funding uncertainty, workforce shortages, and practical barriers to care require nonprofits to think differently about fundraising and donor engagement.
Crypto Philanthropy won’t solve every challenge, but it offers healthcare organizations a new way to engage generous, mission-driven supporters while funding practical solutions that improve lives.
Sostento’s Crypto Community Fund for Healthcare Access demonstrates what can happen when healthcare expertise, community leadership, and digital philanthropy come together around a shared mission.
Ready to Help Expand Healthcare Access?
Whether you choose to give cryptocurrency, stock, a donor-advised fund grant, or a traditional donation, your support can help remove barriers that prevent patients from receiving the care they need.
Learn more about the Crypto Community Fund for Healthcare Access and become one of its 250 Founding Members today.
