The "Pledge to America" unveiled by congressional Republicans on Thursday includes a vow to "repeal and replace" the healthcare reform law signed six months ago by President Obama. The American people "don't want the $500 billion in their taxes and the over 150 boards, bureaucracies, and commissions required to implement this," Rep. Bill Cassidy, MD (R-La.) said at a press conference held by GOP congressional leaders. "What the American people told us they want is that we defund, repeal, and replace" the Affordable Care Act (ACA), which was signed by President Obama on March 23. Republicans included the following healthcare-related items in the 21-page "pledge" document: "Because the new healthcare law kills jobs, raises taxes, and increases the cost of healthcare, we will immediately take action to repeal this law," the document says. "Skyrocketing medical liability insurance rates have distorted the practice of medicine, routinely forcing doctors to order costly and often unnecessary tests to protect themselves from lawsuits," the document notes. The authors say they plan to "enact common-sense medical liability reforms to lower costs, rein in junk lawsuits, and curb defensive medicine."