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A Better Oregon - Healthcare Testimonial Project
Thank you for sharing your story about how health care access, or lack thereof, impacts you and your loved ones.

Please complete the form to tell us a little about yourself and schedule a time for a short (10-15 minute) conversation over Skype about how cuts to healthcare and the potential repeal of the Affordable Care Act will impact you and your family.
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First and Last Name *
Organization (if applicable)
Phone Number *
Email Address *
City *
Which day should we schedule your interview? *
When is the best time that day to Skype with you? We're available between 11AM and 7PM. *
Please share 2-4 sentences about the personal impact that cuts to healthcare would have on you and your loved ones. For instance, how would losing your insurance affect your ability to manage your health, afford prescriptions, or access mental health or addiction services? *
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