Common Practice Uses Games and Pins to Spur Health and Activism – The Philadelphia Citizen
This was supposed to be a story about Hello, a game that helps people have conversations about their end-of-life wishes and, in the process, enables them to explore and express what matters most to them.
But as it turns out, the creators of the gameJethro Heiko and Nick Jehlen, whose company is called Common Practiceare more like accidental, or incidental, game creators; their primary, and defining, profession is something more powerful, more timely. Theyre Action Enablers.
A little history.
As a college student in the 90s at University of Massachusetts-Amherst, Heiko cared for his dying father; it was an experience that propelled him to start a bereavement organization with a local hospice in Boston, which he ran for a few years. Then he became a community organizer, leading, among other efforts, Fenway Votes, the charge to save Fenway Park, and co-founding Turn Your Back on Bush, an effort that rallied 5,000 people to descend on Washington to take a stand against Bushs election in 2004.
Voting is so important, I dont want to downplay voting, Jehlen says. But there are just so many other ways to do stuff. All of our work is geared towards giving people a way to try and do stuff.
It was while working as an organizer in Boston that Jethro met a woman whose then-boyfriend was designer Nick Jehlen. The two men became friends and then business partners, launching a consulting firm, and in 2003 Heiko moved to Philly to be near family, continuing to work with Jehlen, who soon after moved to New York. Once in Philly, Heiko became a founder of Casino-Free Philadelphia, getting arrested (and ultimately acquitted) while protesting.
But it was after a difficult client project fell apart that Heiko and Jehlen decided to think more deeply about what they really wanted to do, who they really wanted to serve. On a walk near 7th and Spring Garden streets one day, Heiko came up with an idea for a game called Fear Rummy, about fears and hopes.
That led us to an exploration of death and dying as an issue facing our society, Jehlen says. They began doing interviews, including many with hospice nurses who said, over and over, that they could provide really good care to people from families that had had one good conversation about death and dying. Thats all it took. And if they hadnt had that one conversation, it was a struggle. There was no entrance.
Hello, previously called My Gift of Grace, came out of that introspection and research. Its a conversational game that include a booklet of questions like, Who havent you talked to in six months that you would want to talk with before you died? and If you needed help going to the bathroom today, who is the first person you would ask to help you? Who would you never be able to ask? Its thoughtfully- and beautifully-designed; everyone gets a chance to talk and to listen, and to share their gratitude to fellow players.
But its more than that: Its effective.
Lauren Jodi Van Scoy, MD, is a pulmonologist at Penn State Hershey and the author of Last Wish: Stories to Inspire a Peaceful Passing. Shes been studying Hello for the last six years, and her findings are remarkable: She says that 80 percent of players take some next step towards advance care planning within three months of playing Hellowhether its talking to their physician or making funeral plans. I was really skeptical of the game when I first heard about it, she says. But its the most effective tool that Ive ever seen at getting people to actually do another step beyond just whatever the [end-of-life planning] intervention itself was.
Jehlen likes to say that there are more studies and data on Hello than on any other end-of-life tool. Its nice and cute, but its not Cards Against Humanityits actually gonna change the world, Heiko adds. To date, theyve sold about 40,000 copies of the game, and are looking to scale.
Watching Hello being played, one cant help but wonder what its potential could be to stimulate conversations beyond end-of-life, to get into matters of politics and policy when our country is in dire need of civil discourse.
There, Heiko and Jehlen are one step ahead.
Some more recent history.
After President Trump was elected, and as Justice Ruth Bader Ginsburg rose to pop-political prominence as an antidote to our countrys collective fear and grief, Jehlen, with the help of an illustrator friend, created an RBG collar pin. He gave 100 of them away to friends.
Then he made 500 moreand sold them all, within days, on Facebook.
Meanwhile, the airport sit-ins in protest of Trumps immigration policies had begun and, watching the news, Jehlen wanted to do something: He realized that he could sell pins for a causethat cause, supporting the work of the legal teams on the front linesand so many more.
I think people want to feel like theyre part of something, Jehlen says. I think theres a real appeal to civil discourse and to being able to wear something that both shows your opinion and also isnt hitting other people over the head with it.
Now, Dissent Pinsa line of cool, colorful metal pins and jewelry, as well as stickers, with progressive subject matteris the financial engine driving the duos business, which they refer to internally as Dissent and Co. Theyve sold more than 150,000 items, and half of all proceeds from the sale of the pins go to meaningful causes.
The original RBG pin supports The Bronx Freedom Fund, International Refugee Assistance Project (IRAP), and the Center for Reproductive Rights. A colorful birth control pin supports Planned Parenthood Federation of America, Reproductive Health Access Project, and SisterSong: Women of Color Reproductive Health Collective.
Theres the IUD pin and a condom pin, a Thanks, Science pro-vaccine pin and gun-control pins and Pride pins and a Count Every Vote pin and more.
And while, sure, you could just as easily donate to Planned Parenthood without advertising that youve done so, Jehlen and Heiko recognize that there is power in broadcasting your beliefs, even if only silently.
I think people want to feel like theyre part of something, Jehlen says. I think theres a real appeal to civil discourse and to being able to wear something that both shows your opinion and also isnt hitting other people over the head with it.
Heiko wants the pins to empower people. When you wear a pin like that, it makes you behave a certain way, he says. Our hope is that you go into the day, and youll feel more powerful. Youll feel more powerful to stand up and dissent when you need to.
Not that theyre opposed to verbalizing their beliefs. On a recent Thursday morning in November, Heiko and Madeline Elwell, a Philly native who leads Common Practices customer outreach and engagement, showed up in front of Independence Hall, wearing, on their winter coats, name tags that said Hello, Im President Zelensky and Hello, Im President Trump, respectively. They proceeded to read the memorandum of the now-infamous July 25 call between the two world leaders; it was their way of saying, if only to the Chinese tourists and locals who happened to pass by, This is nuts, peoplewake up! They also created a document called the Citizen Subpoena, on which theyve been gathering citizen signatures to subpoena Mike Pence; they plan to mail it directly to the Veep himself.
In 2020, theyre launching The Big One, A preparation kit for the most important election of our lives. It is a five-by-eight card, downloadable for free on their site, with two questions: Why is the 2020 election important to you? and Because the 2020 election is important to you, what are you committing to do about it? It is meant to be shared and discussed among groups.
Witnessing, Jehlen says, alluding to the viewer turnout for the televised impeachment hearings, is very important, but its not the only thing. We are living through history, and we better grab the reins, he notes. Otherwise theres some really bad stuff that will continue to happen.
If their efforts seem all over the place, theres a unifying theme, ayupCommon Practice, among them all.
In many ways, all were designing are ways and handles to do things together, to do things in public, to take action, Jehlen says. I think theres a tendency in this moment in this democracy for people to believe that voting is the only thing that you can do. And voting is so important, I dont want to downplay voting. But there are just so many other ways to do stuff. All of our work is geared towards giving people a way to try and do stuff.
Link:
Common Practice Uses Games and Pins to Spur Health and Activism - The Philadelphia Citizen
- In sweeping attack on elections, Trump fires leadership of key federal voting assistance commission - Democracy Docket - July 11th, 2026 [July 11th, 2026]
- What the World Cup Teaches Us About Democracy: Finding Unity Across Differences in the Classroom - The Fulcrum - July 11th, 2026 [July 11th, 2026]
- Democracy works best when everyone is heard; homeless situation; no point in voting (Letters) - Daily Camera - July 11th, 2026 [July 11th, 2026]
- Trump DOJ to target Democratic strongholds for election monitoring: The more eyes on elections the better - Democracy Docket - July 11th, 2026 [July 11th, 2026]
- Trump DOJ threatens election officials with criminal prosecution over noncitizen voting - Democracy Docket - July 11th, 2026 [July 11th, 2026]
- Democracy | Proof Through the Night: Driving America and Scaling Walls on America 250 - Mississippi Free Press - July 11th, 2026 [July 11th, 2026]
- Trump fired the entire Election Administration Commission. Now what? - Democracy Docket - July 11th, 2026 [July 11th, 2026]
- Federal judges take a bus tour to spread the message of democracy to communities - USA Today - July 11th, 2026 [July 11th, 2026]
- Its threats, its intimidation: Nevada secretary of state slams Trump DOJ letters targeting election officials over noncitizen voting - Democracy... - July 11th, 2026 [July 11th, 2026]
- This Week in Democracy Week 77: ICE Kills Again, White Supremacists Descend on DC, and Trump Wants Birthright Citizenship Case Reheard - Zeteo - July 11th, 2026 [July 11th, 2026]
- Letter to the Editor | Chuck Putney: The beacon of democracy - Bennington Banner - July 11th, 2026 [July 11th, 2026]
- The Supreme Court Is Imposing a New Kind of Democracy. Its a Scam. - Slate Magazine - July 7th, 2026 [July 7th, 2026]
- The Supreme Courts Continuing Role in Undermining American Democracy: The 20252026 Term in Review - Center for American Progress - July 7th, 2026 [July 7th, 2026]
- Democracy has a participation problem. AI may help solve it. - FIRE | Foundation for Individual Rights and Expression - July 7th, 2026 [July 7th, 2026]
- Too Many Pro-Democracy Groups Are Weakening the Cause - Yale Insights - July 7th, 2026 [July 7th, 2026]
- Recording of the webinar with Stephan Lewandowsky: Is the Internet compatible with democracy? - EDMO.eu - July 7th, 2026 [July 7th, 2026]
- Envisioning Federal Scientific Integrity As a Tool to Protect Democracy and Fight Corruption - | Knight First Amendment Institute - July 7th, 2026 [July 7th, 2026]
- Democracy Is the Unfinished Work - Ford Foundation - July 7th, 2026 [July 7th, 2026]
- Trump is a danger to US democracy. But the resistance is working | Kenneth Roth - The Guardian - July 7th, 2026 [July 7th, 2026]
- UC Berkeley will launch new Nancy Pelosi Institute focused on strengthening democracy - University of California, Berkeley - July 7th, 2026 [July 7th, 2026]
- Flowers: Of democracy, independence and birthright citizensh... - seMissourian - July 7th, 2026 [July 7th, 2026]
- Historian reflects on 250 years of American democracy, political crisis and reinvention - WBUR - July 7th, 2026 [July 7th, 2026]
- U.S. democracy wasnt inevitable neither is 250 more years - The Japan Times - July 7th, 2026 [July 7th, 2026]
- Tech, Power, and the Struggle for American Democracy - Tech Policy Press - July 7th, 2026 [July 7th, 2026]
- Iran Fires on Two Ships in Strait of Hormuz as Trump Threatens to Finish the Job - Democracy Now! - July 7th, 2026 [July 7th, 2026]
- Venezuelans apply the social media savvy that pushed democracy in 2024 to a disaster in 2026 - WLRN - July 7th, 2026 [July 7th, 2026]
- Langston Hughes Saw Democracy As Something We Owe One Another - Forbes - July 7th, 2026 [July 7th, 2026]
- 1776 Against 1787: Constituent Power and the Forgotten Meaning of American Democracy - Pressenza - International Press Agency - July 7th, 2026 [July 7th, 2026]
- Democracy under assault from significant third parties at 2025 federal election, parliamentary inquiry finds - The Guardian - July 1st, 2026 [July 1st, 2026]
- Between the Vote and the Street: Rethinking Democracy in East Africa - Kettering Foundation - July 1st, 2026 [July 1st, 2026]
- The Ranked Ballot Is the Pro-Women, Pro-Voter, Pro-Democracy Reform America Needs - Ms. Magazine - July 1st, 2026 [July 1st, 2026]
- Experiencing Democracy in the Classroom - Education Next - July 1st, 2026 [July 1st, 2026]
- 250 years in, ASU experts weigh in on evolving democracy in America - ASU News - July 1st, 2026 [July 1st, 2026]
- Americas 250th anniversary is also a test for Western democracy - Decode39 - July 1st, 2026 [July 1st, 2026]
- Opinion: 250th anniversary a time to celebrate the sacred messiness of democracy - ASU News - July 1st, 2026 [July 1st, 2026]
- The Founders Never Meant the US to Be a Democracy - Jacobin - July 1st, 2026 [July 1st, 2026]
- African Union's Role in Elections: Promoting Democracy or Whitewashing Illegitimacy? - Amani Africa - July 1st, 2026 [July 1st, 2026]
- Nancy Pelosi Is the Wrong Namesake for Berkeley's 'Institute for Representative Democracy' - Reason Magazine - July 1st, 2026 [July 1st, 2026]
- Venezuelas interim regime is using the earthquakes to bury democracy - The Hill - July 1st, 2026 [July 1st, 2026]
- Democracy is alive and well on the Upper West Side: Voters in Morningside Heights cast their votes on Election Day - Columbia Daily Spectator - July 1st, 2026 [July 1st, 2026]
- Defenders of Democracy: The Thin Blue Line - THIRTEEN - New York Public Media - July 1st, 2026 [July 1st, 2026]
- Trojan trap of the National Endowment for Democracy: unmasking its hypocrisy - Global Times - July 1st, 2026 [July 1st, 2026]
- Legislation to Freeze the Arrest of Haredi Draft Evaders - The Israel Democracy Institute - July 1st, 2026 [July 1st, 2026]
- Drake University Appoints Jessica Vanden Berg as Executive Director of the Olson Institute for Public Democracy - Drake University Newsroom - June 24th, 2026 [June 24th, 2026]
- Sing Democracy 250: A Musical Reflection on Americas History and a Call to Citizenship - Kettering Foundation - June 24th, 2026 [June 24th, 2026]
- The Floor Was Always Ours: Ballroom, Belonging, and the Democracy We Built Before They Let Us In - Nonprofit Quarterly - June 24th, 2026 [June 24th, 2026]
- Congress Directs Trump to End U.S. War on Iran - Democracy Now! - June 24th, 2026 [June 24th, 2026]
- In big win for voters, court permanently blocks key parts of Trumps first anti-voting executive order - Democracy Docket - June 24th, 2026 [June 24th, 2026]
- Second Nature: Elliot Page on New Film Exploring Animal World Beyond the Binary - Democracy Now! - June 24th, 2026 [June 24th, 2026]
- Food AND Medicine Members Went to Workers Revive Democracy Jobs with Justice National Conference - Maine AFL-CIO - June 24th, 2026 [June 24th, 2026]
- Ousted Dan Goldman warns antisemitism will be undoing of our democracy - Jewish Insider - June 24th, 2026 [June 24th, 2026]
- LAZARRE: Who Is Pro-Democracy Content Actually Reaching? - The Washington Informer - June 24th, 2026 [June 24th, 2026]
- Remembering Ahmed Wishah, the Latest Palestinian Journalist Killed by Israel in Gaza - Democracy Now! - June 24th, 2026 [June 24th, 2026]
- Trump weaponized the government against American democracy: Dem blasts GOP for spooking voters - MS NOW - June 22nd, 2026 [June 22nd, 2026]
- The people in this room are the backbone of our democracy. 67 complete state elections training. - Rhode Island Current - June 22nd, 2026 [June 22nd, 2026]
- Tang Wing for American Democracy Opens on Eve of USA's 250th - World-Architects - June 22nd, 2026 [June 22nd, 2026]
- Ben Wikler: My state was a democracy desert. This is how we turned it around. - WisPolitics - June 22nd, 2026 [June 22nd, 2026]
- Democracy, the Military, and Americas Future: A Conversation with Admiral McRaven - Carnegie Endowment for International Peace - June 22nd, 2026 [June 22nd, 2026]
- Shared Stewardship: How We Build a Thriving Democracy Together - The Fulcrum - June 22nd, 2026 [June 22nd, 2026]
- Letters to the Editor: Preserve a healthy Cubberley, protect democracy, support housing near transit - Palo Alto Online - June 22nd, 2026 [June 22nd, 2026]
- At Atlanta church, Ossoff casts Senate race as test of faith, character and democracy: "Georgia's spirit of tolerance will overwhelm and defeat... - June 22nd, 2026 [June 22nd, 2026]
- Walt Whitman Saw New York as Key to the Future of Democracy in his Publications Celebrating Americas Centennial. What Would He Make of the US at 250?... - June 22nd, 2026 [June 22nd, 2026]
- What the Knicks and a White House UFC Spectacles Reveal About Ritual and Power in Today's American Democracy - ZME Science - June 22nd, 2026 [June 22nd, 2026]
- For Imre Huss, Fixing Democracy Starts With Talking to a Stranger - The Fulcrum - June 22nd, 2026 [June 22nd, 2026]
- Why Somaliland needs democracy more than ever? - The Times of Israel - June 22nd, 2026 [June 22nd, 2026]
- Threats to UK democracy: Disinformation, foreign interference and declining public trust - House of Lords Library - June 22nd, 2026 [June 22nd, 2026]
- On the Necessity of a Political Parties Law as a Prelude to Democracy in Syria - The Syrian Observer - June 22nd, 2026 [June 22nd, 2026]
- Video: The Democracy of The Dive Bar - The New York Times - June 22nd, 2026 [June 22nd, 2026]
- Top Grants, Fellowships and Research Opportunities for Democracy and Governance - fundsforNGOs - June 22nd, 2026 [June 22nd, 2026]
- First-Time Voters Ahead of the 26th Knesset Elections - The Israel Democracy Institute - June 22nd, 2026 [June 22nd, 2026]
- Opinion: IRIS, ACLU and LWV unite in Connecticut to shield democracy - CT Insider - June 22nd, 2026 [June 22nd, 2026]
- UKs tech strategy failure is a threat to democracy, experts - Computing UK - June 22nd, 2026 [June 22nd, 2026]
- Procedural Justice Sustaining Sports and Democracy - - June 22nd, 2026 [June 22nd, 2026]
- GUEST VIEWPOINT: There is no democracy without journalism - dailyrecordnews.com - June 22nd, 2026 [June 22nd, 2026]
- The era of trillionaires will be dire for democracy. Here is how we can fight back | Gabriel Zucman - The Guardian - June 17th, 2026 [June 17th, 2026]
- Georgia Republicans backtracked on gerrymandering because they feared a showdown over Black voting rights - Democracy Docket - June 17th, 2026 [June 17th, 2026]
- Europes fractured politics and what they reveal about democracy - Brookings - June 17th, 2026 [June 17th, 2026]
- Two Declarations, One Democracy: On Freedom, Exclusion, and the American Project - Nonprofit Quarterly - June 17th, 2026 [June 17th, 2026]
- Democracy needs more than just opinions - EBU - June 17th, 2026 [June 17th, 2026]
- Defending Democracy in the 2026 Midterms: What Public Health Needs to Know - American Public Health Association - June 17th, 2026 [June 17th, 2026]