Republicans drafting their tax cut proposal have been awfully cavalier in particular about one deduction they’re proposing to repeal: the deduction for medical expenses.

A fact sheet issued by House Ways and Means Committee Republicans when they unveiled their tax plan denigrated this deduction as one of “a myriad of provisions that many will never use and others may use only once in their lifetime.” Other aspects of the tax plan, they said, would make up for losing this deduction by giving families “the flexibility to use their paychecks for what matters most to them every year.”