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Daily news & progressive opinion—funded by the people, not the corporations—delivered straight to your inbox.
If anyone celebrating this attack against transgender people were to spend time with the parents, children, and doctors affected, their feelings might change.
President Donald Trump's executive order prohibiting any hospital that receives federal funds from practicing gender-affirming care callously disregards the needs of children who are both gender and neurodiverse, putting them and their families at risk. If anyone celebrating this order were to spend time with the parents, children, and doctors affected, their feelings might change. They should meet Pearl who before receiving treatment was failing out of high school, contemplating suicide, and rarely left the house, and is now attending community college, teaching herself another language, and has developed deep friendships. Or the mathematically-gifted Ellen who after two deep depressive episodes in the last three years, finds safety, companionship, and stability in her gender support group. Or Jacob, a role model to all that meet him, who is attending college out of state and just performed in a concert on campus.
For three years my husband and I have been part of a support group with the parents of these children, who range in age from 14 to 25. Many are now scrambling for information to determine how far the order extends; where one can continue to receive care; what care, if any, the doctors they’ve trusted, relied on, and put faith in for years can still provide. Parents are counting prescription refills, checking if pharmacies will still honor them, searching for providers not impacted by the order, and compiling a list of states they could afford to travel to if other options don’t materialize. Some fear the order will destroy their children’s delicate mental health. Others fear it is a death sentence.
Our “community” includes some of the most thoughtful and loving caregivers I have ever known. Our children, who all have autism spectrum disorder (ASD), see and experience the world through a different yet remarkable lens. While some focus on their deficits, we see their creativity, honesty, strong sense of justice, loyalty, and enhanced focus as superpowers. But none of us deny that what makes them unique also presents challenges, including struggling with social interactions, poor executive functioning skills, or developmental delays. One challenge they all share is dealing with their gender diversity.
These are parents not boogeymen. These children are lovingly cared for and listened to, not abused.
Those with ASD are three to six times more likely than the general population to be gender diverse1—the umbrella term that includes non-binary and transgender. On top of their social, developmental, or communication issues, the added stress of feeling uncomfortable in their own bodies deeply impacts their well-being. We often talk about their “dark periods” when they’ve experienced debilitating depression, suicidal ideation, and elevated anxiety. Like any good parent, we sought advice from trusted medical professionals who provide the standard of care supported by leading medical organizations, including the American Medical Association and the American Academy of Pediatrics.
Our children see a multidisciplinary team of fully licensed, board-certified, highly trained pediatric specialists at a world-renowned hospital. These neuropsychologists, psychiatrists, gynecologists, and social workers coordinate care plans tailored to each child, considering their unique developmental, mental, and emotional health needs. Every child is evaluated regularly over extended periods of time. The medical care they receive may include mental health treatment, executive functioning courses, and in-person or online groups where they play games like D&D and socialize with like-minded youth. Some children who are past puberty receive hormone therapy after an extensive evaluation process. No child under the age of 18 is provided with gender-affirming surgery.
Parents in our group run the gamut. Some struggled to accept their child’s gender diversity or ASD diagnosis. Some oppose using hormone therapy, despite their child’s repeated demands, because they believe their child couldn’t handle the responsibility. Some have once needed to hospitalize their suicidal children, but have watched them flourish since starting them on hormone therapy. All struggling and questioning. But no care decisions are made without extensive consultation with their doctors, whose paramount concern is that our children are happy, healthy, productive, and thriving.
My child does not receive hormone therapy or other treatments outlined in the order. I do not, cannot, fully understand the magnitude of their pain. All I can do is stand witness to this action’s cruelty. These are parents not boogeymen. These children are lovingly cared for and listened to, not abused. These doctors have dedicated their lives to improving the mental and physical health of some of the most vulnerable among us. They are saving them, not experimenting on them. We are all good, intelligent, informed, and, now, scared people, whose greatest concern is the welfare of our children.
Editor's Note: To protect privacy all names and identifying details of those mentioned in this piece have been changed.
"Great fucking job, NCAA. You're now a part of Donald Trump's anti-trans hate machine seeking to push trans people out of public life and make their lives as difficult as possible," said one critic.
The National Collegiate Athletic Association announced Thursday that its board of governors voted to update the NCAA's participation policy for transgender student-athletes in response to Republican U.S. President Donald Trump signing an executive order intended to ban trans girls and women from competing on female sports teams
The NCAA is a nonprofit that regulates sports for 1,100 colleges and universities that collectively enroll more than 530,000 student-athletes. Its new policy says that "regardless of sex assigned at birth or gender identity, a student-athlete may participate (practice and compete) with a men's team, assuming they meet all other NCAA eligibility requirements."
However, the policy says, student-athletes who were assigned male at birth or assigned female at birth and have begun hormone therapy such as testosterone can continue to practice with women's teams but cannot compete with them.
According to The Hill, "Previously, the NCAA policy said transgender participation in each sport depended on guidelines set by the sport’s national or international governing body." NCAA president Charlie Baker, a former Republican governor of Massachusetts, recently told Congress that fewer than 10 trans athletes competed across the organization's three divisions.
Baker claimed in a Thursday statement that "President Trump's order provides a clear, national standard," and the organization's new policy "follows through on the NCAA's constitutional commitment to deliver intercollegiate athletics competition and to protect, support, and enhance the mental and physical health of student-athletes."
While Trump celebrated the policy update on social media Thursday, advocates for LGBTQ+ rights have forcefully criticized both the NCAA and the Republican president.
Responding to the NCAA's decision on the social media site Bluesky, Law Dork's Chris Geidner decried the "unbelievable depths of spinelessness with such cruel, unnecessary ramifications."
"Great fucking job, NCAA. You're now a part of Donald Trump's anti-trans hate machine seeking to push trans people out of public life and make their lives as difficult as possible," he added. "Charlie Baker, this is on you."
Jack Turban said on Bluesky that he was resigning from the NCAA Committee on Competitive Safeguards and Medical Aspects of Sports. The doctor told The Hill that he and other panel members were not notified of the board's vote before the public statement.
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— Jack Turban MD ( @turban.bsky.social) February 6, 2025 at 4:31 PM
"Trump and Republicans are picking out a tiny portion of the population, vilifying them, and stoking fear. That's dangerous and has real consequences,"
said Rep. Pramila Jayapal (D-Wash.) on social media Thursday afternoon. "I want to be clear: Americans do have concerns about fairness in sports, and it's important that we have those conversations and educate people about the facts. But actions like Trump's are not the answer."
"We should be focusing on the real obstacles that female athletes face, like a lack of financial resources and vulnerability to abuse. Instead, Republicans are attacking a group that represents less than a fraction of 1% of student-athletes," said Jayapal, who has a
trans daughter. "This is a manufactured crisis—one that serves to distract you from the fact that Trump and Republicans ran on raising wages and lowering costs, but have no real solutions to help you build a better life."
"They are trying to get you to look the other way. Don't," she added. "And to the trans community—I know this is all incredibly difficult. I'm so sorry that you have to go through this, but please know that I see you, I stand with you, and I will NEVER stop fighting for you. That's a promise."
The NCAA cravenly caves.
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— Nathan Kalman-Lamb ( @nkalamb.bsky.social) February 5, 2025 at 7:42 PM
The president's order is already having an impact beyond the NCAA policy change. As The Washington Postreported Thursday:
Trump's executive order directs the Department of Education to inform schools they will be violating Title IX, the federal law banning sex discrimination in schools, if they allow transgender athletes to compete in girls' or women's sports. Under the law, schools that discriminate based on sex are not eligible for federal funding.
In response, the Department of Education earlier Thursday announced investigations into the University of Pennsylvania, San José State University, and a Massachusetts high school athletic association over reported Title IX violations. Pennsylvania and the Massachusetts Interscholastic Athletic Association are targeted for allowing transgender students to play on a women's swimming team and girls' high school basketball team, respectively. Several opponents of the San José State women's volleyball team forfeited games this fall because the Spartans purportedly had a transgender athlete on its roster.
The newspaper noted that the NCAA's decision came two days after former teammates of swimmer Lia Thomas filed a lawsuit in Massachusetts federal court claiming Harvard University, the University of Pennsylvania, the Ivy League, and the NCAA violated Title IX by allowing Thomas to compete in 2022 championships.
"We will not let the president turn back the clock or deter us from upholding California values," said Rob Bonta, the state's attorney general.
Fifteen Democratic state attorneys issued a joint statement Wednesday vowing to protect access to gender-affirming healthcare amid the Trump administration's attacks on transgender people, which include a new executive order aiming to ban trans girls and women from competing on female sports teams.
"We stand firmly in support of healthcare policies that respect the dignity and rights of all people," the attorneys general said in a statement decrying Republican President Donald Trump's January 28 executive order banning federal support for gender-affirming care—which the president described as "chemical and surgical mutilation"—for young adults and minors under the age of 19.
"Healthcare decisions should be made by patients, families, and doctors, not by a politician trying to use his power to restrict your freedoms," the statement continues. "Gender-affirming care is essential, lifesaving medical treatment that supports individuals in living as their authentic selves."
"The Trump administration's recent executive order is wrong on the science and the law," the attorneys general asserted. "Despite what the Trump administration has suggested, there is no connection between 'female genital mutilation' and gender-affirming care, and no federal law makes gender-affirming care unlawful. President Trump cannot change that by executive order."
"State attorneys general will continue to enforce state laws that provide access to gender-affirming care, in states where such enforcement authority exists, and we will challenge any unlawful effort by the Trump administration to restrict access to it in our jurisdictions," they added.
The attorneys general of California, Colorado, Connecticut, Delaware, Hawaii, Illinois, Maine, Maryland, Massachusetts, New Jersey, New York, Nevada, Rhode Island, Vermont, and Wisconsin signed the statement.
"California supports the rights of transgender youth to live their lives as their authentic selves," California Attorney General Rob Bonta said in a statement Wednesday. "We will not let the president turn back the clock or deter us from upholding California values."
"I understand that the president's executive order on gender-affirming care has created some confusion," Bonta added. "Let me be clear: California law has not changed, and hospitals and clinics have a legal obligation to provide equal access to healthcare services."
The statement from the 15 attorneys general came on the same day that Trump signed an executive order titled "Keeping Men Out of Women's Sports" that directs the Department of Education—which the president has vowed to abolish—to notify school districts that allowing transgender girls and women to compete on female teams violates Title IX, the federal law prohibiting discrimination on the basis of sex in education.
The executive order also directs the administration to "convene representatives of major athletic organizations and governing bodies, and female athletes harmed by such policies," and "convene state attorneys general to identify best practices in defining and enforcing equal opportunities for women to participate in sports and educate them about stories of women and girls who have been harmed by male participation in women's sports."
Wednesday's directive is the latest salvo in Trump's war on transgender people, which includes a day one executive order declaring that only two genders exist, another order advocating action against educators who "facilitate the social transition of a minor," a reinstatement of his first-term ban on new military enlistment by trans people—who, according to the White House, cannot lead an "honorable, truthful, and disciplined lifestyle"—nominating a transphobe to head the Justice Department's civil rights office, and scrubbing all mention of transgender people and issues from federal agency websites.
Trans people and their allies are fighting back. Lawsuits have been filed
challenging restrictions on access to gender-affirming healthcare and the transfer of transgender women inmates to men's prisons. On Wednesday, a federal judge appointed by former Republican President Ronald Reagan temporarily blocked federal prisons from moving transgender women to men's facilities and cutting off their access to hormone therapy, citing the Constitution's ban on cruel and unusual punishment. At least two federal judges have also issued temporary restraining orders on Trump administration efforts to freeze funding for federal agencies and programs.
Protests in defense of gender-affirming healthcare and other trans rights have also taken place at hospitals and other locations across the country as Trump and allies including Department of Government Efficiency chief Elon Musk pressure the U.S. Treasury Department to defund any programs specifically helping transgender and other LGBTQ+ people.
"The protection of marginalized communities will not come solely from elected officials or bureaucratic processes—it will come from sustained, organized resistance," trans rights activist Erin Reed wrote Wednesday. "History shows that real power lies not in centralized institutions but in the collective action of those who refuse to be divided."
"Authoritarian governments rely on fragmentation, banking on the idea that the public will see themselves as isolated rather than interconnected," Reed added. "As protests grow and solidarity strengthens across movements, the coming months may test just how powerful a unified public can be."