A group of doctors is criticizing the American Medical Association’s new “health equity” guidelines, which they say will lead to poor patient treatment and unqualified doctors.

The AMA, along with the Association of American Medical Colleges’ Center for Health Justice, released “Advancing Health Equity: A Guide to Language, Narrative and Concepts” last month, which argues that meritocracy is a “malignant” narrative and limits “understanding of the root causes of health inequities.”