Help us report on Trump's repeal and replace plan for the Affordable Care Act
Reporters from The Dallas Morning News want to learn how the Trump administration's plan to repeal and replace the Affordable Care Act affects Texans. We need your help. Please fill out the form and share your story.

We're asking for your email and phone number so a reporter from The Dallas Morning News may contact you. We will not share your personal information. It is for reporting purposes only.

Name *
Your answer
Age *
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Email *
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Contact number
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Gender *
In which Texas county do you live? *
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Ethnicity
Occupation
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Annual Income
Do you provide insurance for employees? *
Are you uninsured? *
Do you have a chronic condition that requires on-going treatment? *
Please describe in detail how The Affordable Care Act (Obamacare) has affected you and what your hopes or concerns are if it is repealed.
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