Medical Debt Survey
The Right Care Alliance is a national, grassroots organization of patients and clinicians fighting for universal health care and community control of the health system. We're trying to learn as much as we can about how people are struggling with the costs of health care in the United States. If you'd be willing to share your experiences with us, we'd be grateful. All questions are optional, and you are free to remain anonymous if you choose.
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Approximately how much money do you owe your hospital or health system? (If you have no medical debt, please enter 0.)
In general, how would you rate the quality of the health care you receive?
poor quality
high quality
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Have you been bothered or sued by a hospital or collection agency in regard to medical debt? If so, please share details, if you're willing.
In general, how easy is it to understand the medical bills you receive?
What kind of health insurance do you have? (Choose all that apply.)
Roughly how much money do you spend out-of-pocket each month for medications?
Has the cost of health care forced you to delay certain kinds of treatment or preventive care? If so, please tell us what kinds of care you've postponed.
Has the cost of health care interfered with your ability to pay for other things? (Choose all that apply.)
What else would you like to share about how medical costs have affected your life?
How old are you?
Clear selection
How would you describe your gender identity?
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What state do you live in?
If you would like to stay informed about our work against oppressive medical costs and debt, please share your email address here. 
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