Health Workers & Patients, Share Your Story!
Your personal story is a powerful organizing tool that can be highly effective in inspiring others, including your legislators, to take action in support of the New York Health Act and Medicare For All!

Below are a few optional prompts to help shape a compelling healthcare story for single payer advocacy, including a place to share a short quote for our #MedStoryMonday quotegraphic series - more info & examples, here: www.pnhpnymetro.org/medstorymonday

Include any relevant details to help people connect on an emotional level and explain how you feel or felt during the key moments of your story.

Please share this form with other patients & healthcare workers! www.bit.ly/MedStoryMonday

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Email *
What is your first name? *
What is your last name? *
Please fill out the optional prompts below & feel free to ignore prompts that do not apply to your story. Examples are in parenthesis after each prompt.

I am.../When I was living/working... (please share details relevant to your story like your age, disability/job/immigration/health status, stage in life, person in X profession, person living in X location, etc.)
I have / sought care for / was injured / was diagnosed with / witnessed / cared for a patient with... (EX: chronic migraine, health emergency, long term care, mental health crisis, etc.)
I experienced / was forced to / felt... (EX: wait months to be seen in a free clinic, stop cancer treatments, delay or not get preventative care, spend hours on the phone etc.)
Due to... (EX: The high cost of co-pays, could no longer afford insurance, lack of adequate insurance coverage, lost insurance because of job status, no doctors available in my network, etc.)
I support the New York Health Act & Medicare For All because...(EX: racism in medicine won't end without an equitable system, I don't want others to lose x the way I did, I became a doctor to help people not generate profits for insurance companies, etc.)
How would winning universal single-payer healthcare change your life or the lives of your loved ones, colleagues, or patients? (2-5 sentences)
Submit a concise (2-4 sentence) anecdote/quote for our #MedStoryMonday series!
We will be in touch to request a photo!
Do we have your permission to use your story publicly? *
What is your phone number?
Street Address, City/Town, Zip code
Title (ex: MD, RN, CNM, PhD, CPA, etc) and/or role (ex: teacher, line cook, delivery worker, farmer, family doctor, pediatric nurse, medical student, resident, etc.)
What is your relationship to the health system? (check all that apply)
Would you like to get involved in organizing with PNHP?
There are lots of ways to help!
EX: writing, tech team, social media team, translation, research, phonebanking, etc. 
Sign up at the links below, find more info on our website, or email morgan@pnhpnymetro.org for more info.
  • Join our Working Groups, and our WhatsApp NYHealthAct Community & subgroups: www.pnhpnymetro.org/working_groups
  • Get resources for learning & sharing info about the NY Health Act: www.pnhpnymetro.org/nyha_resources
  • Find information about the PNHP New York Metro chapter's UHLAF fellowship (Universal Healthcare Legislative Advocacy Fellowship): www.pnhpnymetro.org/fellowship
  • To volunteer to help with translation, social media content creation, research or to host a phonebank or other event, or to discuss other ideas, please email morgan@pnhpnymetro.org
Please feel free to submit additional stories via this form at any time.
Thank you! Click "submit" below to finalize. 
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