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Future of America's Healthcare Survey
Please share your opinions about healthcare reform by filling out our survey below.

First Name: Last Name:
Address: Address 2:
City: State:
Zip Code: Email Address:

1. Are you pleased with the quality of health care you and your family currently receive?



2. Generally, do you think America’s health care system is:

A. Totally broken and needs to be completely overhauled.


B. The finest in the world, but still needs some reform.


3. Please indicate your biggest concerns about our current health care system:

A. The quality of American health care is generally very poor.



B. The cost of medical treatment is too high.



C. The cost of medical insurance is too high.



D. Cost of prescription drugs are too high.



E. Access to quality health care is limited.



F. Government doesn’t have enough say.



G. Other

4. How much of a role do you feel the federal government should have in deciding an individual’s health care?




5. Do you support the policy advanced by Democratic leaders that the federal government should dictate health care coverage to all Americans?



6. Do you favor the Democrats' plan to create a government-run national health care program that would oversee health policies for all Americans?



7. When it comes to choosing between personal choice versus government control of health care which of the following do you agree with.

A. The federal government should take control over America's health care system.


B. Too much government intrusion will result in a costly, bloated, inefficient bureaucracy.


C. I should be allowed to make my own decisions and seek doctors and health care of my own choice.


D. Other

8. Should the federal government force all employers, no matter how small, to provide health insurance to all their employees.



9. Should the government force all employees to contribute a portion of their salaries to a health care plan?



10. Should the government ban pre-existing condition exclusions and require all policies to provide full benefits no matter that it will likely increase the price of your coverage?



11. Do you believe that much of the rising costs of health care could be curbed if reasonable limits were put on frivolous medical malpractice suits?



12. Do you support greater expansion of programs where individuals deposit funds into special tax-free "health savings accounts" which they can then use to cover their medical costs?



13. How concerned are you that government control of health care will eliminate free and fair competition of health care providers and related services?



14. Optional Section. Please list, in order of importance, the four health issues you consider most critical:










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