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Trump Bans Federal Support for Gender-Affirming Healthcare Up to Age 19
"This order will kill kids, there's no other way to say it," asserted one critic.
Jan 28, 2025
In his administration's latest attack on LGBTQ+ Americans, Republican U.S. President Donald Trump on Tuesday issued an executive order banning the federal government from supporting a wide range of gender-affirming healthcare for transgender youth.
Trump's order—titled "Protecting Children From Chemical and Surgical Mutilation"—states that the federal government "will not fund, sponsor, promote, assist, or support the so-called 'transition' of a child from one sex to another, and it will rigorously enforce all laws that prohibit or limit these destructive and life-altering procedures."
"Child" is defined in the order as anyone younger than 19—including 18-year-old adults. The directive covers treatments and procedures including gender-affirming surgeries, puberty blockers, and hormone replacement therapy. The ban will adversely affect people who rely upon federal programs including Medicare, Medicaid, and TRICARE, through which the Department of Defense provides health coverage for nearly 2 million youth dependents.
This order will kill kids, there's no other way to say it. It's the government forcibly taking control of the bodies of thousands of children.
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— Katelyn Burns (@katelynburns.com) January 28, 2025 at 3:19 PM
Furthermore, the order—which is almost certain to be challenged in court—places hospitals, clinics, and other providers of gender-affirming care at risk of losing federal funding.
"This executive order is a brazen attempt to put politicians in between people and their doctors, preventing them from accessing evidence-based healthcare supported by every major medical association in the country," Kelly Robinson, president of the LGBTQ+ advocacy group Human Rights Campaign, said in a statement. "It is deeply unfair to play politics with people's lives and strip transgender young people, their families, and their providers of the freedom to make necessary healthcare decisions."
"Questions about this care should be answered by doctors—not politicians—and decisions must rest with families, doctors, and the patient," Robinson added. "Everyone deserves the freedom to make deeply personal healthcare decisions for themselves and their families—no matter your income, zip code, or health coverage."
Trump made opposing rights for transgender people—especially children—a major part of his 2024 campaign, as it was during his first term.
The president's executive order claims that "medical professionals are maiming and sterilizing a growing number of impressionable children under the radical and false claim that adults can change a child's sex through a series of irreversible medical interventions."
"This dangerous trend will be a stain on our nation's history, and it must end," asserts the directive, which dubiously claims that "countless children soon regret that they have been mutilated and begin to grasp the horrifying tragedy that they will never be able to conceive children of their own or nurture their children through breastfeeding."
However, trans advocate Erin Reed pushed back, noting on social media that "detransition is rare, 1-4% in most studies, and regret even lower."
Furthermore, many doctors and medical experts agree that gender-affirming care saves the lives of trans youth, who are at higher risk of suicide and other self-harm, partly due to discrimination, bullying, and other societal pressures.
Trans people and their allies are already fighting back against Trump's policies. On Tuesday, half a dozen active-duty transgender U.S. troops and two people seeking to join the military sued to block a revival of the president's first-term ban on trans people enlisting in the armed forces.
The previous day, a transgender woman inmate in a federal women's prison sued the Trump administration over a recent executive order narrowly defining sex, arguing it is motivated by hate, violates the Constitution's ban on cruel and unusual punishment, and places her in mortal danger if she is transferred to a men's facility as ordered by the government.
In stark contrast with the direction in which Trump is steering the U.S., health officials in Thailand—which last year became the first nation in Southeast Asia to legalize same-sex marriage equality—this week announced a multimillion-dollar initiative to provide gender-affirming care for 200,000 transgender people in the country.
Thai Prime Minister Paetongtarn Shinawatra said last week that the marriage equality law, which went into effect this month, "marks the beginning of Thai society's greater awareness of gender diversity, and our embrace of everyone regardless of sexual orientation, race, or religion—our affirmation that everyone is entitled to equal rights and dignity."
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The Nightmarish Truth Behind World Heritage Sites
UNESCO must abandon its support for a conservation model that annihilates Indigenous peoples; it should begin by de-listing sites where human rights abuses occur.
Sep 18, 2024
I stand, mesmerized by the landscape. Distant mountains are cloaked in every shade of green, and a clear, still lake reflects the sky. The deep amber sunset lights the golden script carved into the wooden sign: Kaeng Krachan National Park.
Nearby, a young couple captures the moment in a selfie—a postcard from paradise, one of Thailand’s World Heritage Sites.
“Not there... there!” Kai, our guide, tugs my arm, and points to a spot by the river. “That’s where they found part of Billy’s body.” And, just like that, my reverie breaks.
For many Indigenous people, their lands declared as World Heritage Sites morph into alien territories, belonging not to them, but to “all the peoples of the world”—especially the fee-paying tourists.
Pholachi “Billy” Rakchongcharoen was an Indigenous Karen activist. He was collecting honey when he was arrested by park officials and vanished. Five years later, pieces of his skull surfaced in a drum under a bridge—right here in paradise. Billy was just 30, about the same age as those young selfie takers.
Later, we meet Menor, his widow. Her eyes heavy with sorrow, she says, “Why do we need a World Heritage Site on our ancestral land? It never gives the community any benefits. It just takes things away from us.”
This landscape, hailed by UNESCO for its “outstanding value to all humanity,” is home to a tragedy. And the Karen people, its true custodians, are its victims. The Karen practice rotational agriculture—where different plots of land are used over successive years and then left fallow for up to a decade. Essentially, they prepare a new area for planting by using controlled fires, which enrich the soil and enhance biodiversity. All of this is accompanied by rituals and ceremonies to honor the Earth, their food provider. Since colonial times, conservationists, blind to this harmony, branded it pejoratively as “slash and burn.”
In 1996, the Karen of Bang Kloi village were evicted by the government under the guise of protecting the park. They resisted. Billy was one of them—until his voice was silenced.
Inspired by Billy and his grandfather, the indomitable Ko-ee who died aged 107 after a lifetime of resistance, the Karen of Bang Kloi reclaimed their territory in 2020, only to be violently expelled again. Despite this grim history, despite the pleas of three United Nations special rapporteurs to address human rights concerns before the designation, UNESCO assigned the Kaeng Krachan Forest Complex (KKFC) World Heritage Site (WHS) status in 2021. The accolade was in the category “natural criteria,” defined as a “significant natural habitat for in-situ conservation of biological diversity.”
But despite the beliefs of UNESCO experts and tourists, the Kaeng Krachan habitat did not occur naturally. The landscape was sculpted and nurtured by Indigenous people for generations. As one Karen man pointed out, “The WHS staff only see the forest and animals; they don’t see the people. They don’t see us. It’s a kind of blindness.”
Another Karen voice added bluntly, “KKFC becoming a WHS is a serious violation of human rights.”
Since its designation as a World Heritage Site there’s been an increase in harassment and arrests, and a tightening of restrictions. Karen people said that the World Heritage status meant that attempts to force everyone out of the forest “have got worse”.
This isn’t just a Thai tragedy. It’s a global one. Human rights investigations have documented torture, rape, and killings of Indigenous people in “natural” World Heritage Sites—especially in Asia and Africa. These sites, celebrated for their beauty and ecological importance, become war zones for the locals. Governments and NGOs, armed with UNESCO’s blessing, push the Indigenous people out and blame them for the degradation of what they have long protected.
Countries crave UNESCO’s nod. It brings prestige, tourists, funding. But for those evicted, it’s a nightmare.
In my travels with Survival International, the global movement for Indigenous peoples’ rights, I’ve seen these “wonders of the world.” The Serengeti’s vast plains, Odzala’s shadowy Congo forests, India’s tiger reserves, Yosemite’s grandeur—all share a dark secret. The pristine wilderness tourists adore is soaked with Indigenous blood, sweat, and tears. These landscapes were their homes, sustained by their knowledge and practices until outsiders decided they were “wild nature,” needing protection from the very people who understood them best. It’s colonialism masquerading as conservation.
For many Indigenous people, their lands declared as World Heritage Sites morph into alien territories, belonging not to them, but to “all the peoples of the world”—especially the fee-paying tourists.
We need to put this conservation model on trial, just as we did with other unjust, outdated, and harmful ideas—racial segregation, gender inequality. The true protectors of our shared natural heritage are Indigenous peoples. Their ways of life are sustainable, rooted in providing for future generations. For them, nature is home, the foundation of life and survival. They are the best stewards of the natural world. As one group of Karen declared, defiant despite the years of oppression: “If we don’t fight today, there will be no future for our children.”
UNESCO must abandon its support for a conservation model that annihilates Indigenous peoples. It should begin by de-listing sites where human rights abuses occur. Only then can it begin to decolonize itself—and genuinely protect our planet.
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'Love Wins': Thailand Set to Be First Southeast Asian Nation to Legalize Same-Sex Marriage
"While there is no doubt that the legalization of marriage for LGBTI couples is a key milestone for Thailand, much more must be done to guarantee full protection," said one campaigner.
Jun 18, 2024
LGBTQ+ advocates around the world on Tuesday cheered the Thai Senate's passage of a bill legalizing same-sex marriage, a move that—if approved by the country's king as expected—would make Thailand the first country in Southeast Asia to do so.
The Bangkok Postreported Thai senators voted 130-4, with 18 abstentions, in favor of a bill to legalize same-sex marriages in the country of 72 million people. The Thai House of Representatives overwhelmingly approved the legislation in March. The legislation would become law if it passes further review by the Senate and the Constitutional Court and is approved by King Rama X. Royal assent is a formality that will almost certainly be granted.
"The bill represents a monumental step forward for LGBTQ+ rights in Thailand," Panyaphon Phiphatkhunarnon, founder of the advocacy group Love Foundation, toldCNN.
Plaifa Kyoka Shodladd, an 18-year-old activist, toldThe New York Times that "after 20 years of trying to legalize this matter, finally, love wins."
In Asia, only Nepal and Taiwan have achieved same-sex marriage equality. Thailand would become the 39th nation to legalize same-sex marriage worldwide.
Legalization "would underscore Thailand's leadership in the region in promoting human rights and gender equality," said the Thai Civil Society Commission of Marriage Equality, Activists, and LGBTI+ Couples.
Amnesty International Thailand researcher Chanatip Tatiyakaroonwong said in a
statement: "Thailand has taken a historic step towards becoming the first country in Southeast Asia to legalize marriage for LGBTI couples. This landmark moment is a reward for the tireless work of activists, civil society organizations, and lawmakers who have fought for this victory."
"While there is no doubt that the legalization of marriage for LGBTI couples is a key milestone for Thailand, much more must be done to guarantee full protection of LGBTI people in the country," Chanatip continued. "LGBTI people in Thailand continue to face many forms of violence and discrimination, including but not limited to technology-facilitated gender-based violence, which often targets human rights defenders."
"Thai authorities must build on the momentum and take further steps that protect the rights and ensure the participation of LGBTI people and organizations," Chanatip added.
Thailand's imminent legalization of same-sex marriage equality stands in contrast with the hundreds of pieces of anti-LGBTQ+ legislation proposed or passed mostly in Republican-controlled state legislatures in the United States.
Advocates are also worried about the future of LGBTQ+ rights at the national level, as U.S. Supreme Court Justice Clarence Thomas suggested in Dobbs v. Jackson Women's Health Organization—the ruling that erased half a century of federal abortion rights—that the high court could reconsider cases including Obergefell v. Hodges, which in 2015 legalized same-sex marriage nationwide.
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