The image shows a group of four people standing on a sidewalk in front of a large white building with columns. They are holding up signs that say "Medicare Expansion Now" and "Lips". The person in the center of the image is wearing a pair of large red sunglasses with white lenses and a pink tongue sticking out. The person on the left is holding a sign that reads "Lipstick" and the person on on the right is holding up a large cardboard cutout of a coffee cup. There are also several bicycles parked in the background. The group appears to be participating in a protest or rally.