Home Share Your Story Please share your story about how you have been impacted by Obamacare. Your story will be compiled for research and posted on our public website. Your story needs to be told and will make a difference. First Name*Enter just your first name to protect your privacy.State*Select your state of residence.AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificEmail*Used for verification purposes only - not posted on website. Enter Email Confirm Email PhotoHelp put a face on the victims of Obamacare by including your photo.Role*Please select the role that applies to your situation.EmployerHealth ProfessionalIndividualInsurance AgentHow You Have Been Impacted by Obamacare*Select all that apply to your situation. Insurance Premium Increase Deductible Increase Copay Increase Less Choice of Plans Employer Coverage Reduced or Eliminated Job Hours or Compensation Reduced Job Eliminated Claim Denied Reduced Access to Care Longer Wait Times Paperwork Increase Disclosure of Confidential Information Premium Before ObmacareAmount of your annual health insurance premium BEFORE Obamacare.Premium After ObmacareAmount of your annual health insurance premium AFTER Obamacare.Story Summary*Provide a summary of your story in 10 words or less. Story Detail*Provide the details about your story.CaptchaPlease verify you are a real person by entering the characters you see in the box below.NameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.