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Why Health Care Matters to You

Please tell us about why you want health care reform. You’ll help us learn which reforms are most important to our activists, and we’ll take the results and your stories to lawmakers to advocate for reform.

	1. Does your family have health insurance?
	Yes No

	2. If yes, where do you get your coverage?
	Employer Buy it yourself Public program (Medicare, Medi-Cal)

	3. Have the premiums you pay for health insurance gone up in the last year?
	Yes No

	4. Have your health insurance benefits been cut in the last year? Or, if you buy coverage on your own, have you had to reduce your benefits in order to afford it?
	Yes No

	5. In the last year, have you passed up a treatment or skipped a prescription because it cost too much?
	Yes No

	6. What’s most important to you about health care reform?
	Making coverage more dependable Prioritizing prevention and wellness Reducing costs Setting fair rules for insurance companies Covering everybody

	7. Do you have a story about a problem you’ve had with your health care or health insurance? Tell us!


	Your email address (required)


	First Name


	Last Name

ISSUES

Why Health Care Matters to You

1. Does your family have health insurance?

2. If yes, where do you get your coverage?

3. Have the premiums you pay for health insurance gone up in the last year?

4. Have your health insurance benefits been cut in the last year? Or, if you buy coverage on your own, have you had to reduce your benefits in order to afford it?

5. In the last year, have you passed up a treatment or skipped a prescription because it cost too much?

6. What’s most important to you about health care reform?

7. Do you have a story about a problem you’ve had with your health care or health insurance? Tell us!

Your email address (required)

First Name

Last Name