1. Who is responsible for providing your insurance coverage? *

The Healthcare Marketplace/Exchange

Employer

Government Program (IE: Medicare or Medicaid)

Other

2. When you think about the price and rising costs of healthcare, who do you think is the most responsible? *

Providers (Doctors)

Pharmaceutical Companies (Drug Manufacturers)

Insurance Companies

Hospitals

Pharmacy Benefit Managers (PBMs)

Other

3. In your opinion, should healthcare be regulated at the state level or by the federal government? *

State Legislature

Federal Government

Both

Neither

4. In thinking about the costs of healthcare, do you think government mandates generally make insurance and healthcare more affordable or less affordable? *

More Affordable

Less Affordable

Neither

Name *

First Name

Last Name

Phone

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