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The debate in Washington on the future of the Affordable Care Act is reaching a fever pitch. Some representatives are actually calling to repeal the law without any replacement – putting health care for millions in jeopardy.

Only you understand how their decisions can impact your patients and your community – and it's time that our legislators started listening.

Complete our form below with your thoughts on the changes you've seen under the Affordable Care Act. We'll take your response directly to Washington, DC.

As a nurse working in and serving my community, I fight for patients every day by . I'm worried that repealing the Affordable Care Act will result in . I know that my patients also worry about .

For me and my community, the most important thing for our health care system is . I want leaders in Washington to listen to nurses when making decisions that impact everyone's health. And I especially want them to know .

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