Tell Us Why You Need Health Care Reform

Please take a moment to tell us about you and your family's struggles with our broken health care system. We won't quote you by name without specific permission, but promise to take your stories to Capitol Hill.

Now is your chance to say, in your own words, how our system is failing you and your family, and why our elected representatives need to fix it.

You can check our stories page to see what some of our other members are saying, and how much we need reform.

Your Story Tell us your story here.

First Name Last name Address City State StateALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Zip Phone Number Email May we share your story with others? Genuine individual stories of our health care crisis can embolden fence-sitting senators to support reform. Some of them are balancing the interests of the insurers and drug companies against the needs of their constituents, but a vocal and engaged public Yes     No     Do you have a photo of yourself or your family to share? If YES, please check this box and e-mail your photo to media@pirg.org