Organizing for America | BarackObama.com

Now that you've seen how the stories of ordinary Americans can have an extraordinary impact, share your personal story about the urgency of health care reform in your life and the lives of those you love.

Here are a few pointers for making sure your story is heard:

Be Personal: This is your story, and you should focus on your own life experience, your beliefs, and the changes you hope to see.
Be Specific: The most powerful and memorable stories include specific, real-life examples.
Be Concise: There's no specific limit on the length of your story, but you should try to communicate the essence of your story as clearly and concisely as possible.

Your personal stories are the most powerful call for change. When the lobbyists for the status quo tell Congress to hold back, your personal story will give them the courage to press forward.

First name: *

Last name: *

Email: *

Zip: *

Your story: *

Optional: Which of the following is your story about?

	How health care costs are too high
	How you or someone you know has insufficient choice of health care providers
	How you or someone you know lacks quality, affordable care

Optional: Are you a health care professional?

Optional: Upload a photo of yourself to go with your story:

I support President Obama's three principles for real health care reform , and I call on Congress to enact a plan upholding them in 2009.

I agree that by submitting my story, my name, city/state, and personal story will appear publicly in a powerful display of support for the President's principles and I agree to the Submission Terms

President Obama has called for health care reform in 2009 that upholds three core principles. It must:

Reduce costs - Rising health care costs are crushing the budgets of governments, businesses, individuals, and families, and they must be brought under control
Guarantee choice - Every American must have the freedom to choose their plan and doctor - including the choice of a public insurance option
Ensure quality care for all - All Americans must have quality and affordable health care

By submitting your story, you agree that the story, along with any pictures or video you submit along with the story (the "Submission"), is non-confidential and may be freely used and disclosed, in whole or in part and in any manner or media, by or on behalf of Democratic National Committee ("DNC") in support of health care reform.

You acknowledge that such use will be without acknowledgment or compensation to you.

You grant DNC a perpetual, irrevocable, sublicensable, royalty-free license to publish, reproduce, distribute, display, perform, adapt, create derivative works of and otherwise use the Submission.

You acknowledge that DNC has no obligation to publish, review or use any Submission you submit. You represent and warrant that you own all rights in the Submission, that it is your original work and is true and accurate, and that the Submission (including any photos or videos included therein), does not, and will not, infringe upon or violate the rights of any third party, any law or regulation party, including without limitation any intellectual property rights.