They have minor impact. I get real replies from my Congresswoman's Boy Friday.
Pip
Please send a note to your elected officials.It's quick, it's painless, and, in theory, it helps cut out special interest groups.
Pip
https://www.uspirg.org/action/health-care/conference?id4=ES
form letters produced via internet have no impact. try a personal letter or going by your representative/senators local office in person