Everyone's assuming that this was a patient who was denied coverage or family member of a patient who was denied coverage, the thing is this sort of person will have made enemies in the corporate world as well.
I just wanted to say it gave me a chuckle how it sounded like you meant he wrote on the bullets at Starbucks. Like it was just a thought that occurred to him and he needed a place to sit down and write on them with a sharpie he borrowed from the baristas.