Worse yet: abortions, miscarriages, infant deaths and deaths from complications of child birth will increase.  They always do under Republican economic and social policies, "pro-life" rhetoric notwithstanding. If/when the Republicans succeed in repealing the ACA, the increase in deaths will be even more dramatic as millions of people lose their health insurance and thus their health care.  Trump, Ryan and McConnell have no plan to replace the ACA, and most of the Republicans in Congress have neither the intention nor the desire to replace it.  "Repeal and replace" is a lie; it was always a lie.  It's incredible how gullible the putatively "pro-life" voters were in this election.