Submit Your Story

Tell your personal story about how America's broken health care system has affected your life and why you support health care reform.

*Items in bold with an asterisk are required.
Briefly describe your healthcare story here.
First Name
Last Name
Email
Subscribe to AFSCME E-Update
Council/Affiliate
Local
Address
Address2
City
State
Zip (xxxxx-xxxx)
Phone (xxx-xxx-xxxx)
Upload a photo
(Photo must be less than 300K and be of file type .jpg)
AFSCME has my permission to reprint my story in part or in full and use my uploaded photo (if included) on its Web site.
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