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The Association of American Medical Colleges announced Friday that it has written to President-elect Donald J. Trump and congressional leaders to urge them not to repeal the Affordable Care Act (widely known as Obamacare) unless there are systems put in place to provide "current coverage levels" for those who rely on it. The letters follow reports that the Republican congressional leadership plans to try to repeal the ACA without a new system in place, but simply to delay the end of ACA coverage.

The AAMC letters say this would not work. "Repealing the ACA without a replacement, even if the implementation of such a repeal were delayed, would be very disruptive. For example, recently insured patients with complex conditions require stability and continuity in their care. If the exchange marketplace is disrupted, their inability to afford other coverage could cause them to forgo or delay necessary medical care. In addition, delayed alternative coverage and stability could harm teaching hospitals’ ability to provide complex, coordinated care to the nation’s most vulnerable patients," said a statement from the association.