Ryan Costello (R) represents Pennsylvania’s’s 6th congressional district where over 66,000 individuals, including 18,000 children, receive their health care coverage through the state exchange for Obamacare (ACA) and Medicaid expansion. Yet he voted 12 out of 12 times for ACA repeal to take away their health care. Maybe he forgot 48,000 of them are eligible voters. Let us remind him by spelling it out for him – and painting him a picture.

PA-06 is located in the south eastern portion of Pennsylvania and includes portions of Lebanon, Berks, Chester and Montgomery counties.

In the Presidential race, Hillary Clinton won this district by 0.6 %. In the House race, Costello beat his opponent by 52,000 votes, helped in large part by some 27,000 Hillary voters crossing over.

A switch of 26,000 votes (half of 52,000) will defeat Costello in 2018. We can mobilize 75,000 Health Votes to defeat him.

---

---

With 75,000 Health Votes versus the 26,000 needed to defeat him, Costello’s Vulnerability Ratio is 2.9 (highly vulnerable).

ACT NOW, BEFORE HE VOTES AGAIN. Call, Fax, Write or E-mail Rep. Costello NOW.

---

---

Ryan Costello (R) PA 06

DC Office
326 Cannon House Office Building
Washington, D.C. 20515
Phone: (202) 225-4315

West Chester Office
21 West Market St. Suite 105
West Chester PA 19382
Phone:(610) 696-2982
Fax: (610) 696-2985

email: Contact Costello (hard) or democracy.io (easy)

---

Cut-and-paste suggested letter/email/Fax (personalizing helps):

Dear Honorable Representative Costello:

Congratulations on your recent election victory by a margin of 52,000 votes.

I am writing to you out of concern about your position on the Affordable Care Act.

If you vote to repeal the ACA, you will be jeopardizing the health and finances of over 66,000 of your constituents, including 18,000 children.

If compassion for their lives doesn’t sway you, let me remind you that 48,000 of these individuals are eligible voters. Combined with the 27,000 Hillary voters who crossed over to vote for you – and who strongly support Obamacare – 75,000 Health Votes may be mobilized against you, come 2018.

We hope you will do the right thing by your constituents and be a voice for their ongoing health and financial well-being by voting against ACA repeal.

Sincerely,

(Your name here)

---

Data Sources:
NYT 2016 House Election Results
Daily Kos Presidential Election Results by Congressional District
US DHHS: Compilation of State Data on the ACA 2016
CMS.gov: Health Plan Selections by County and Demographics
Health Choices PA: Medicaid Expansion
Kaiser Family Foundation Total Monthly Medicaid/CHIP Enrollment