This move came at the recommendation of the Department of Health and Human Services (HHS), headed by Tom Price. In many ways, it’s on brand with Price’s career as an enthusiastic advocate for restricting women’s choices: He has signed personhood acts that ban emergency contraception and abortion, opposed the Obamacare birth control mandate, tried to defund Planned Parenthood, and defended cuts to Medicaid that would deny millions of low-income women health care.

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On an intellectual level, Price’s cuts are frustrating because they represent another piece of a regressive puzzle the Trump administration is assembling in order to control women’s choices. And personally, I’m devastated because I know what these cuts mean to the communities that they will affect.

I attended public school for my entire K-12 education in Tom Price’s former district, where abstinence-only education is the norm. The single day of sex education I received promoted the idea that all sexual acts outside of a heterosexual marriage are dangerous and shameful, and did not make any distinction about whether these acts were consensual or not. It espoused gendered roles that posited women as defenders of their precious virginity, and put the responsibility on women to prevent sex from happening to them. That’s perfectly in line with the content requirements for sex education in Georgia: They consciously exclude information about contraception, coercion, orientation, and HIV/AIDS, and they stress abstinence and marriage.

Because I was lucky, and because I am privileged, I was able to go to a college with real resources—extracurricular trainings, a health clinic, and actual academic courses—that helped me unlearn the detrimental sexual education I received in high school. I got the practical information that I needed, and I started unraveling my skewed concept of consent.

When I attended a “Take Back the Night” rally my freshman year of college, I realized that my abstinence-only education had led me to view myself as responsible for sexual acts committed without my consent. Consequently, I felt shame instead of empowerment to take the steps I needed to recover. This is a common phenomenon for young people that experience abstinence-only education; when all expressions of sexuality are described as negative and shameful, the lines between consensual and nonconsensual acts become blurred.

College gave me a second chance at sex ed, but a lot of people don’t have that opportunity. For rural communities, low-income communities, and communities of color, high school sex education and community-based programs are often the only options available to acquire stigma-free, accurate education about consent, contraception, and sexual health. These populations already face myriad barriers to sex education, including culture, finances, and distance. In my home state of Georgia, there are only four Planned Parenthood clinics—one of the only affordable health centers with enough name recognition that people know to seek it out when they need help—and three of the four are located in the Atlanta metro area in the northwest corner of the state.

Still, teen pregnancy and birth rates are at an all-time low across the country. Georgia has experienced one of the most drastic declines in these rates, from the highest teen birth rate in the United States in 1995 to the 17th in 2015. The grants that Price slashed last week were a part of that story. The target audience of all of these programs are marginalized youth who have a demonstrated need for increased education. And these are the groups that are at the greatest risk for high teen birth rates: Rural counties reported an average birth rate of 30.9 (30.9 teens per 1,000 females aged 15–19), compared with the much lower rate of 18.9 for urban counties. Similarly, black and Latino teenagers experience teen pregnancy at rates twice as high as white teenagers. For these communities, removing teen pregnancy prevention programs that these grants funded will restore the negative effects of abstinence-only education that the grants were originally provided to combat. For example, one of the programs cut was run by the Augusta Partnership for Children Inc., which focuses on reducing teen pregnancy and STI rates in four rural East Georgia counties. In one of these counties, Augusta-Richmond county, the teen birthrate is 22.9 percent higher than the state average.

These cuts can’t be written off as a difference in ideology. I experienced firsthand the powerlessness that results from a shaming, abstinence-focused education, and it can be a matter of life and death for communities already on the margins. I had a second chance at a more holistic education, but it was due to luck and privilege that most folks in Georgia do not have access to. And when we’re talking about pregnancy, HIV/AIDS infection rates, and domestic and sexual violence, luck and privilege shouldn’t be the factors we have to rely on.

Much of the conversation around the Affordable Care Act—and its potential repeal—has focused on numbers and figures: bending the cost curve, lowering the insurance rate, or slowing health care inflation. But lost in this conversation are the millions of people who owe their medication, treatment, preventive care, and in many cases their lives to the Affordable Care Act.

Representative Tom Price, Donald Trump’s pick to lead the Department of Health and Human Services and oversee the ACA repeal, has proposed a replacement for the law that would leave young people, Americans with pre-existing conditions, women, and people with disabilities at the mercy of the health insurance industry. This would quite literally put the lives of his own constituents at risk.

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Below are the stories of three people from Tom Price’s district in Georgia who owe their health coverage to the Affordable Care Act.

1. Vicki Hopper

Vicki Hopper had been uninsured for nearly two years before she purchased health insurance on ACA exchanges in Georgia. Two days later she went to have a mammogram and was told to come back for a more extensive evaluation. Two days after that, she found out she had breast cancer. Since then, she has had 10 surgeries, including biopsies, a double mastectomy, and reconstructive surgery.

In Vicki’s case, the Affordable Care Act may have quite literally saved her life. Mammograms, let alone cancer treatment and surgeries, are incredibly expensive and would have likely been impossible without health insurance coverage. Even if Vicki had found out she had breast cancer, insurance companies would have been able to charge her exorbitant rates or outright deny her coverage because cancer qualifies as a pre-existing condition. But under the ACA, routine health benefits like cancer screening, treatment, and follow-up care are required.

As Vicki told us, “If it wasn’t for Obamacare, I would be homeless.”

2. The Kush Family

Patricia Kush knows exactly how devastating an ACA repeal would be, because she remembers what life was like before Congress passed the legislation. In 2004, Patricia’s husband was diagnosed with diabetes. He was working over 40 hours a week, but his employer didn’t offer health insurance. He tried to get individual coverage through the insurance market, but insurance companies refused to cover his diabetes-related expenses. Because he couldn’t afford an expensive insurance plan and the out-of-pocket costs for diabetes medications, he went without health insurance.

In 2007, Patricia’s husband was hospitalized for serious complications from his illness. He survived, but his time in the hospital cost the couple almost $30,000. “We were lucky, Patricia says, “He didn’t die. The hospital forgave a chunk of the costs, and because of good credit, we were able to get a 10-year loan to pay off the rest of the medical bills. But not everyone is as lucky as we were.”

These days, Patricia’s husband is on her health insurance, but their future is far from secure. “If something happened to me, or I lost my job, and Obamacare had been repealed, he would be in real trouble,” Patricia says. Because he has a pre-existing condition, insurance companies would not be required to cover him if Obamacare were repealed outright. “Even though we don’t currently use the health care exchanges, I feel as if it is very important to tell our story from when my husband wasn’t able to get insurance,” she told us. “It would be devastating for so many families if Obamacare is repealed.”

3. Josh Carter

When his son was born in 2014, Josh was working in a stressful and difficult job. According to his wife Sarah, the anxiety and long hours were placing a major strain on the whole family, but they needed the job to be able to support themselves. By the time their son turned one, Josh’s health and the family’s quality of life were suffering. Josh was eventually able to find a contract job to provide for his family, with one major catch—it didn’t include health benefits. But because Obamacare provides people with access to insurance marketplaces, he was able to find health coverage for him, his wife, and his baby through the exchanges and take a new job.

As important as coverage was for Josh, it was even more important for his son. Since the ACA was passed, nearly 2 million kids have gained health insurance that includes essential screenings and immunizations. Josh’s son benefited from blood pressure screening, vision screening, lead screening, and oral health risk assessments.

“My husband would never have been able to take this opportunity if it wasn’t for the ACA and the ability to buy affordable health insurance outside of his employer,” his wife Sarah says. His contract job turned into a permanent job that he loves—an opportunity he would not have had without access to safe, affordable health care.

If Tom Price listened to his constituents, he would hear thousands of stories like these. Vicki, Patricia, Josh and their families all benefited from coverage under the Affordable Care Act. In Vicki’s case, it probably saved her life. Repealing the Affordable Care Act without a replacement that covers the people who currently depend on it would simply cost lives.

If Tom Price is going to continue his plot to repeal the Affordable Care Act, he owes people like Vicki, Josh, and Patricia a plan that ensures they can continue to get the coverage they need.