Last night, Democrat Patty Schachtner, the chief medical examiner of St. Croix County, Wisconsin, won a special election for an open state Senate seat by 9 points. Voters in the district supported Donald Trump by 17 points just 15 months ago, and the seat had not been held by a Democrat since the turn of the century.

One of the big issues in the race was health care, and below is an example of direct mail Schachtner’s campaign used extensively to highlight the consequences of the GOP’s health care repeal. Just like in Virginia, where health care was the top issue for voters and Democrats came away victorious, voters are rejecting Republicans who embrace the GOP war on health care. In fact, recent national polling conducted by Hart Research and Protect Our Care found that health care was the number one issue among voters surveyed.

If Republicans want to stop losing, they should stop their war on health care.