Consider this: I see a pothole on my street, I hate it so I take a picture and tweet about how I wish it was gone. Enter crowdtilt, instead, I take a picture and create a campaign, it gets shared on facebook and twitter and suddenly a movement to fix the pothole has started. Worst case the campaign doesn't tilt and it's the equivalent of a tweet, best case we raise money to actually fix the damn thing, talk about putting your money where your mouth is!
While this behavior may not exist yet, I see a future where this app enables people to make much stronger statements about change they would like to see and gives them a dead simple way to contribute to those changes (plus all the fun spontaneous social stuff :).