California’s long-term care system is broken, how has it failed you? Share your story:

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* 1. Contact Information

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* 2. I (or a member of my family) pays for home care and other LTSS using the following (if applicable)

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* 3. I am a:

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* 4. Who are you and why do you need Long-term Services and Supports? (Or what is your connection to LTSS?)

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* 5. How has a lack of access to LTSS made your life and the life of your family more difficult?  (please be specific) What have you had to do to get access to LTSS?

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* 6. How would your life be different if CA offered a program to help everyone afford home care and other LTSS such as durable medical equipment (example: wheelchairs)?

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