1. Headline
  1. Headline

Submit:

Share your story

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.

Images must be .gif, .jpg/jpeg or .png formats. Combined file size limit: 40MB.Each file size should be larger than 1KB.

Image file Caption *

Image file Caption *

Image file Caption *

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?

(3000 character limit)

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?

All about you

 

Please, no HTML tags.

 

First name *

Last name *

Phone number

City

State

Country

Birth year *

Your e-mail address and/or phone number will not be published.

Discuss:

Discussion comments

,

Most active discussions

  1. votes comments
  2. votes comments
  3. votes comments
  4. votes comments

More on TODAY.com

  1. Samantha Okazaki / TODAY

    At Home with TODAY: Jenna Wolfe shows the love in Harper's nursery

    10/30/2014 11:37:28 AM +00:00 2014-10-30T11:37:28
  1. Courtesy of Ryan Weimer

    Dad's Halloween costumes for son with muscular dystrophy wow pros

    10/29/2014 10:32:03 PM +00:00 2014-10-29T22:32:03
  1. 2 dead after plane crashes into building at Kansas airport

    A small airplane plowed into a flight safety center at an airport in Kansas after losing engine power on takeoff Thursday, killing at least two people and leaving five others unaccounted for, officials said.

    10/30/2014 4:34:14 PM +00:00 2014-10-30T16:34:14
  1. Samantha Okazaki / TODAY

    Go off the menu with these 8 secret Starbucks drink ideas

    10/30/2014 5:02:10 PM +00:00 2014-10-30T17:02:10
  1. NBC News

    Nurse Kaci Hickox defies quarantine this morning with bike ride

    10/30/2014 1:51:05 PM +00:00 2014-10-30T13:51:05