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Msnbc.com is interested in untangling the impact of the newly passed health care reform legislation by explaining its expected consequences for select readers whose live mirror those of millions. We will feature the resulting story and multimedia report at doseofreality.msnbc.com.

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Here’s how it works:  If you’d like to be considered as a real-life model for the impact of health reform,  please tell us what kind of health insurance you have now, if any. What’s your employment situation? Annual family income?

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Tell us about your health: Are you healthy? Do you or family members have any serious health problems?

Share your views: What do you think about the coming changes to our health care system? Do you think your family will be helped or harmed?  How so?

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Your e-mail address and/or phone number will not be published.