I have never understood the rights hate of LGBTQ+ people just for being different. I used to think it was they couldn’t understand it because they did feel that way. If they did not feel that way then it must be wrong or not exist. The very same things they say about trans people they said about gay people when I was a school kid. I remember that people were pushing to ban gay guys, and it was always gay guys just like it is always trans women, from teaching because they would molest the kids. Now it is we can’t let trans people use the bathroom that corresponds to their gender identity because of some fear they will molest the little girls. Always to protect the kids but if that was the goal then may I mention religious leaders? I think also the fear some religious right wingers have is that they find trans women attractive and that terrifies them. They want to force kids to go through the wrong puberty so it is harder for them to fit in with the stereotypes people have of what is masculine or feminine. For some they think they are doing the bidding of their deity but I don’t remember reading Jesus saying anything about trans people. But he did preach love and tolerance a lot. Maybe the pain and cruelty is the point after all. Hugs
Trans youth almost always feel less suicidal while undergoing treatment. (Getty
Trans youth almost always feel less suicidal while undergoing treatment. (Getty)
Yet another study proving that trans youth almost always feel less suicidal on gender-affirming care has been thrown on the pile of evidence that puberty blockers are safe and effective.
Research set to be published in the Journal of Paediatric’s February volume has once again proved that trans adolescents show “meaningful reductions” in depression and anxiety after beginning clinically-endorsed hormone therapy.
Co-written by paediatricians in Nevada, Texas, and Missouri, the study examined the wellbeing of 432 patients before and after undergoing treatment.
The participants, aged 12 to 20, were surveyed on their mental health before and at least 364 days after beginning appropriate medical treatment such as puberty blockers and hormone replacement therapy (HRT).
Trans youth regularly come under attack by politicians. (Getty)
Using the Ask Suicide-Screening Questions (ASQ) toolkit – an internationally acknowledged assessment of suicidality in young people and adults – researchers found significant improvements in the mental health of patients across the board.
Suicidality among participants decreased significantly over time, according to the study’s results, with rates continuing to decrease as time went on.
The reductions, clinicians noted, were consistent regardless of gender identity, treatment duration, and, interestingly, the age at the start of therapy.
This not only once again proves that gender-affirming care is remarkably effective in improving the wellbeing of trans patients, but that its effectiveness in reducing suicidal tendencies does not diminish as patients get older.
Clinicians recommended following-up the study with a “larger sample and longer follow-up” to sufficiently prove the consistency of gender-affirming care’s mental health treatments.
Politicians continue to ban puberty blockers despite evidence
Numerous studies across the globe have proven that gender-affirming care is almost always a good thing for trans people, especially trans young people.
One study from October 2024 found that 97 per cent of trans under-18s were “highly satisfied” with the results of gender-affirming treatment, while another from March in the same year found that, out of 548 patients who accessed trans healthcare, just two regretted it.
Regret rates for gender-affirming treatment are very low according to a paper from May 2024, which found that patients are more likely to regret knee surgery, breast augmentation, and even having children than those starting gender-affirming care.
Despite the mountain of evidence proving that gender-affirming care can be, and almost always is, life-saving, anti-trans politicians and political pundits regularly claim trans young people shouldn’t be allowed to access clinically-approved medical treatment.
Wes Streeting has routinely come under fire for his policies on trans people. (Getty)
At least 27 states in the US ban gender-affirming care in some capacity, preventing over 40 per cent of America’s trans youth population from accessing care. Puberty blockers are also banned for trans youth in the UK, despite being freely available for cisgender youth.
The Trevor Project, an LGBTQ+ suicide prevention organisation, warned these bans have “detrimental impacts” on the mental health of trans young people, who are already disproportionately likely to feel suicidal.
Research conducted by Dr Natacha Kennedy in the University of London found that Wes Streeting’s ban on puberty blockers for trans young people is “significantly, extensively, and relentlessly harming trans children and young people”.
She spoke to the parents of trans young people who were once “happy, well-adjusted, and little different from most cis children”, but who have now resorted to self-harm because of an inability to access care.
Suicide is preventable. Readers who are affected by the issues raised in this story are encouraged to contact the Samaritans on 116 123 (www.samaritans.org), or Mind on 0300 123 3393 (www.mind.org.uk). Readers in the US are encouraged to contact the National Suicide Prevention Line on 1-800-273-8255.
I love Erin’s posts and reporting. The attack on trans rights and health was planned and coordinated by religious conservatives who felt they lost the culture war on gay acceptance and same sex marriage so they decided to jump quickly on the trans issue with lots of money. Their first attempt failed because they went after the idea of trans people itself. So then they changed to the old “protect the children” play book with the entire focus on protecting little cis girls but they never mention the trans boys that cis boys need to be protected from. See how patristical it is? It is all about males needing to protect the little womans. They don’t care about trans kids, they don’t care about female sports. It is about not letting trans kids transition with puberty blockers and the correct hormones as then the kids will grow up as they are fitting the societal view of what men and women look like. That scares the straight cis male religious guys because they are terrified they will be attracted to a trans woman. Imagine the horror if trans people moved freely in society not raising any question of their gender because they conformed to how society sees each gender. That sounds like a grand thing to me, but it terrifies these fanatical religious grifters that want to control how everyone lives to please their god. They make up untrue and scary what ifs, what if a man uses the letting trans people use the bathroom of their gender ID to go into a girls … notice they phrase it girls not womans because that make people more protective from the start, and they harm a little girl, your little girl? Well nothing stops a man from doing that now! Predators don’t need permission and won’t wait for it. And that has happened where a straight cis male dragged a little girl into the male bathroom and raped her while his friend watched. There was a famous court case on it. Look it up if you want. Want to know what has not happened, a trans woman going into the female’s bathroom and assaulting a female. Sorry. The right has tried hard to make one happen, but each claim of a trans person in a locker room or bathroom acting inappropriate has been debunked and disproven. This is all a made up scandal and crisis by people who can not accept the society progressing beyond the old traditional binary they grew up with and they think their holy books claim must be as their god insists on it. Weird how it is always how their god insists on what they already believe or promote. Handy that. So many people can not move past the idea that if it dangles you MUST be a boy regardless of how you feel and if it is an inny you must be a girl regardless of anything else idea. They can not seem to grasp personal feelings, needs, or medial science. Hugs
The bill would establish the Affirming Health Care Trust Fund, administered by the State Treasurer, to support clinics and providers outside the reach of federal funding threats.
Vermont Bill Would Create State Trust Fund For Private Trans Youth Care Clinics As Trump Threatens Hospital Funding
The bill would establish the Affirming Health Care Trust Fund, administered by the State Treasurer, to support clinics and providers outside the reach of federal funding threats.
Erin In The Morning is a reader-supported publication. To receive new posts and support my work, consider becoming a subscriber.
Across the United States, gender-affirming care has come under sustained attack in Republican-led states and from the Trump administration. For transgender youth, those attacks have been especially severe, with roughly half of U.S. states now banning such care outright. At the federal level, the administration has waged an intense pressure campaign against hospitals, threatening funding and prompting many systems to drop their care programs altogether. That campaign has now escalated further, with the federal government moving to threaten hospitals’ entire Medicaid and Medicare funding if they continue providing transgender youth care. In response, some states and cities are beginning to fight back by establishing their own funding mechanisms for trans healthcare. The latest example comes from Vermont, where lawmakers have introduced a bill to create a trust fund for gender-affirming care designed to be entirely insulated from federal funding threats.
H.576, introduced by Representatives Daisy Berbeco, Tiffany Bluemle, and Troy Headrick, would establish the Affirming Health Care Trust Fund. Administered by the State Treasurer, the fund would provide direct monetary support to healthcare providers and nonprofits offering gender-affirming care in Vermont. It would cover costs for patients who would otherwise go without treatment, fund the establishment of Vermont-based clinics, and pay for malpractice and liability insurance for clinicians who continue offering care. The bill is part of an increasing movement towards private clinics as a mechanism to survive federal threats.
The bill also includes provisions designed to protect patient information from both federal pressure and out-of-state threats, going further than the recent “refuge” or “shield” laws passed in several blue states to protect transgender youth care. It explicitly bars the board and other state actors from disclosing patient-identifiable data, the identities of providers, or the identities of award recipients to the federal government. This is a significant protection given the wave of abusive legislation and attempts to subpoena transgender healthcare records nationwide. While federal preemption may ultimately be litigated, these provisions give clinics a stronger legal footing to resist such demands—particularly as similar subpoenas have been repeatedly quashed in recent court cases.
The bill comes as families scramble to locate alternatives to hospital systems that are abandoning them. With more than 20 hospitals closing their doors to transgender youth care out of fear and preemptive compliance with the Trump administration, many families have been forced to seek alternatives. Just this week, major hospital systems across Colorado, for example, have stopped providing care. Groups like the Trans Youth Emergency Project say they have the capacity to refer displaced patients to private clinics, and in many places those clinics do exist and are absorbing demand. But as hospital-based programs continue to shut down and demand rises, those private providers will need sustained support—and more clinics will need to be created. Bills like this are a targeted way to do exactly that.
If this bill passes, Vermont would be the latest state to protect care in this way—but it would not be the only one. Massachusetts passed a similar measure last year, allocating $1 million toward transgender youth care clinics, though that funding has already come under criticism as insufficient to meet statewide need in the wake of major clinic closures. In New York City, newly elected mayor Zohran Mamdani has pledged $65 million for transgender healthcare. If that funding is realized, it would position New York City as a major hub for private clinics capable of absorbing demand created by hospital closures across the country. This strategy could prove to be a critical backstop for private providers that are already emerging—and that are likely to come under increasing strain in the years ahead.
The bill allows funding from state appropriations, private donations, grants, and—importantly—federal funds under a future administration that is protective of transgender healthcare. It would take effect immediately upon passage, with the board required to convene by August 1, 2026. There are still hurdles ahead: the bill must advance through committee, pass both chambers, and ultimately receive meaningful funding to function as intended. But its introduction alone signals something important. At a moment when hospitals are retreating and families are being forced into crisis planning, Vermont lawmakers are putting forward a concrete framework to protect access to care rather than surrender it. For Vermonters who want to see their state take a clear stand, residents can find and contact their legislators through the Vermont General Assembly website to make clear where they stand on protecting transgender healthcare.
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As I keep saying this is a small very loud mostly religious driven minority using ever tool and lie they can to change perception of the LGBTQ+ to erase them from society to create the cis straight society they want to force on everyone. We must counter them by being as loud and forceful to not only refute their lies but also promote the joy of living freely as an inclusive society. Hugs
Close-Up of rainbow flag with crowd In background during LGBT Pride Parade. Getty Images.
Ohio lawmakers on both sides of the aisle have introduced several LGBTQ-related bills so far this General Assembly.
Republicans have put forth a drag ban bill, a piece of legislation that would make it harder for a student to use a different name or pronoun at school, and a bill requiring transgender political candidates to list their deadname, among others.
On the other side of the aisle, Democrats have introduced the Ohio Fairness Act and a bill that would ban conversion therapy.
An Ohio court partially overturned a ban on gender-affirming care for LGBTQ youth earlier this year, meaning doctors can still prescribe puberty blockers and hormone therapy.
Anti-LGBTQ bills
Ohio House Bill 249 would ban drag performers from performing anywhere that is not a designated adult entertainment facility. State Reps. Angie King, R-Celina, and Josh Williams, R-Sylvania Twp., introduced the bill, which has had sponsor testimony.
This is a re-introduction of a bill from the previous General Assembly that did not make it out of committee and faced much opposition.
Ohio House Bill 190 would require parental permission for schools to use different pronouns or different names for students that don’t match up with the biological sex or birth name.
Williams and state Rep. Johnathan Newman, R-Troy, introduced the bill, which has had sponsor testimony.
Ohio House Bill 172 would ban children 14 and older from receiving mental health services without parental consent. Newman also introduced this bill, which has had sponsor testimony.
Ohio House Bill 196 would require political candidates to list their former names on candidacy petitions. This, however, would not apply to names that have been changed due to marriage. King and state Reps Rodney Creech, R-West Alexandria, introduced the bill, which has had sponsor testimony.
Ohio House Bill 262 would designate the weeks from Mother’s Day to Father’s Day as Natural Family Month. Williams and state Rep. Beth Lear, R-Galena, introduced the bill, which has had sponsor and opponent testimony.
Pro-LGBTQ bills
Ohio Senate Minority Leader Nickie Antonio, D-Lakewood, has introduced a few bills that support LGBTQ people. Antonio is the only openly gay lawmaker in the Ohio General Assembly.
Ohio Senate Bill 70, also known as the Ohio Fairness Act, would expand anti-discrimination laws to include sexual orientation and gender identity. House Bill 136 is a companion bill.
Antonio has introduced the Ohio Fairness Act in every General Assembly since she was elected to the Ohio House of Representatives in 2011 and this is the first time since 2018 the bill has no Republican support.
Ohio Senate Bill 71 would ban any licensed health professionals from doing conversion therapy when providing mental health treatment to minors. Antonio and state Sen. Beth Liston, D-Dublin, introduced the bill. House Bill 300 is a companion bill.
Ohio Senate Bill 211 would designate the first full week of June as “Love Makes a Family Week.” Antonio introduced this bill as well.
None of these bills have had any hearings so far this General Assembly. Ohio lawmakers are on summer break and will come back to the Statehouse this fall.
The state’s ban on gender-affirming pediatric care “cannot be justified” by science, a two-year review concluded.
Madison PaulyMay 27, 2025, 3:00 pm EDT
Spencer Cox of Utah answers a question during a discussion about how our society can learn to disagree in a way that allows us to find solutions on Wednesday, Nov. 15, 2023. | Logan Newell/The Coloradoan / USA TODAY NETWORK
In 2022, Utah Gov. Spencer Cox was the rare Republican governor who seemed to truly care about the well-being of transgender kids. “I don’t understand what they are going through or why they feel the way they do. But I want them to live,” he wrote in a letter that year, explaining why he was vetoing a bill that would have banned four trans middle- and high schoolers in Utah from playing on sports teams with classmates who shared their gender identity. “All the research shows that even a little acceptance and connection can reduce suicidality significantly.”
Meanwhile, nationally, Republican politicians were making opposition to trans rights a core tenet of their platforms, filing hundreds of bills attacking trans kids at the doctor’s office, at school, and on the field. Early in the 2023 legislative session, Cox capitulated, signing a bill that placed an indefinite “moratorium” on doctors providing puberty blockers and hormone therapy to trans kids with gender dysphoria. The bill ordered the Utah health department to commission a systematic review of medical evidence around the treatments, with the goal of producing recommendations for the legislature on whether to lift the moratorium. “We sincerely hope that we can treat our transgender families with more love and respect as we work to better understand the science and consequences behind these procedures,” Cox said at the time.
Now, more than two years later, that review is here, and its conclusions unambiguously support gender-affirming medical care for trans youth. “The conventional wisdom among non-experts has long been that there are limited data” on gender-affirming pediatric care, the authors wrote. “However, results from our exhaustive literature searches have lead us to the opposite conclusion.”
The medical evidence review, published on Wednesday, was compiled over a two-year period by the Drug Regimen Review Center at the University of Utah. Unlike the federal government’s recent report on the same subject, which was produced in three months and criticized gender-affirming pediatric treatments, the names of the Utah report’s contributors are actually disclosed on the more than thousand-page document.
The authors write:
The consensus of the evidence supports that the treatments are effective in terms of mental health, psychosocial outcomes, and the induction of body changes consistent with the affirmed gender in pediatric [gender dysphoria] patients. The evidence also supports that the treatments are safe in terms of changes to bone density, cardiovascular risk factors, metabolic changes, and cancer…
It is our expert opinion that policies to prevent access to and use of [gender-affirming hormone therapy] for treatment of [gender dysphoria] in pediatric patients cannot be justified based on the quantity or quality of medical science findings or concerns about potential regret in the future, and that high-quality guidelines are available to guide qualified providers in treating pediatric patients who meet diagnostic criteria.
In a second part of their review, the authors looked specifically at long-term outcomes of patients who started treatment for gender dysphoria as minors:
Overall, there were positive mental health and psychosocial functioning outcomes. While gender affirming treatment showed a possibly protective effect in prostate cancer in transgender men and breast cancer in transgender women, there was an increase in some specific types of benign brain tumors. There were increased mortality risks in both transgender men and women treated with hormonal therapy, but more so in transgender women. Increase risk of mortality was consistently due to increase in suicide, non-natural causes, and HIV/AIDS. Patients that were seen at the gender clinic before the age of 18 had a lower risk of suicide compared to those referred as an adult.
Submitted with the review was a set of recommendations—compiled by advisers from the state’s medical and professional licensing boards, the University of Utah, and a Utah non-profit hospital system—on steps the state legislature could take to ensure proper training among gender-affirming care providers, in the event it decides to lift the moratorium.
But according to the Salt Lake Tribune, legislators behind the ban are already dismissing the findings they asked for. In response to questions from the Tribune, Rep. Katy Hall, who co-sponsored the 2023 ban, issued a joint statement with fellow Republican state Rep. Bridger Bolinder, the chair of the legislature’s Health and Human Services Interim Committee, that dismissed the study’s findings. “We intend to keep the moratorium in place,” they told the Tribune. “Young kids and teenagers should not be making life-altering medical decisions based on weak evidence.”
Why ignore their own review? Polling, the legislators’ statement suggests. “Utah was right to lead on this issue, and the public agrees—polls show clear majority support both statewide and nationally,” Hall and Bolinder added in their statement. “Simply put, the science isn’t there, the risks are real, and the public is with us.”
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John Oliver discusses why trans athletes seem to be at the center of U.S. politics right now, the nuances around competition and safety, where the conversation could be headed, and what The Rock would do in a barre class.
Hi all. I love Erin Reed and her substack Erin In the morning. I don’t subscribe to many but I do hers. Here is something for all those that say European countries are reversing on gender affirming care or cite the horrible bias of the debunked Cass review. Hugs.
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The recommendations, released by the Association of the Scientific Medical Societies in Germany, come at a time when US politicians erroneously claim that Europe is “pulling back” on transgender care.
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In recent years, U.S. politicians have selectively framed European healthcare policies to justify restrictions on transgender care, seizing on a handful of conservative policies to claim that “Europe is pulling back.” The most extreme example, the United Kingdom’s Cass Review, has been wielded to justify a near-total ban on puberty blockers and even cited in U.S. Supreme Court arguments. But new medical guidelines from Germany, Austria, and Switzerland tell a different story. These countries have reaffirmed the importance of gender-affirming care for transgender youth and issued sharp critiques of the Cass Review, calling out its severe methodological flaws and misrepresentations.
The guidelines, released Friday in German, span more than 400 pages and represent the collective expertise of 26 medical and psychotherapeutic professional organizations, along with two self-representation organizations from Germany, Austria, and Switzerland. Their stated goal is “to provide guidance to all professionals in the healthcare system who deal with young transgender and non-binary people for the best possible professionally informed care based on the current state of medical knowledge.”
Transgender medical guidelines and associated medical organizations recommending them.
From the outset, the guidelines explain the importance of gender affirming care, stating that there are “no proven effective treatment alternative without body-modifying medical measures for a [person with] permanently persistent gender incongruence.”
Importantly, the guidelines were developed with those who are experts in the fields of gender affirming care having a voice at the table, unlike the Cass Review: “Current guidelines, which are published by medical societies, were predominantly developed by clinical experts for the field of application and are based on an integrated synthesis of the assessment of available evidence and the broadest possible expert consensus.”
The guidelines directly recommend puberty blockers and individualized, prioritized care for transgender youth undergoing physical changes.In the section on puberty blockers, the guidelines state with a strong recommendation: “If, in individual cases, the progressive pubertal maturation development creates a time pressure in which health damage would be expected due to longer waiting times to avert irreversible bodily changes (e.g. male voice change), access to child and adolescent psychiatric or psychotherapeutic clarification and medical treatment optionsshould be granted as quickly as possible.”
The guidelines also deliver a strong critique of the Cass Review, the report currently being used to justify bans on gender-affirming care in the United Kingdom and leveraged in other countries to further restrictions. German medical societies deem the Cass Review largely inapplicable to their own guidelines due to its numerous methodological shortcomings. One of their sharpest criticisms focuses on the lack of transparency regarding those who advised and produced the review, as well as the limited expertise of those involved.
“Medical professional societies were not recognizably involved in the preparation of the report. A so-called “Assurance Group” was appointed, but it was explicitly not involved in the development of recommendations for the Cass Review. There are reports that an “Advisory Board” was also established. The composition and specific contribution of this “Advisory Board” are not documented (Ruuska et al., 2024; Cass, 2024),” read the guidelines.
They also criticize the Cass Review and NHS’s recommendation of “psychotherapy” for gender dysphoria as without evidence and as potentially harmful: “Psychotherapy is recommended for co-incident disorders, for which there is already an indication due to the co-incident disorder itself. However, it is also recommended or the ‘management of [GD] associated distress.’ None of the studies included in the review in question were able to show a reduction in gender dysphoria through psychotherapy.”
The new German, Austrian, and Swiss guidelines mark a significant advancement for transgender healthcare in those countries, reinforcing a growing trend in Europe toward expanding, not restricting, access to gender-affirming care.They join the ranks of nations like Spain and France, which have taken more progressive stances on transgender rights, including medical care. More importantly, they dismantle the false narrative that Europe is “pulling back” on transgender care.In reality, it is the United States that stands as an outlier, with its regressive policies placing it far to the right of much of the Western world.
Erin In The Morning is a reader-supported publication. To receive new posts and support my work, consider becoming a subscriber.
Spencer Cox of Utah answers a question during a discussion about how our society can learn to disagree in a way that allows us to find solutions on Wednesday, Nov. 15, 2023. | Logan Newell/The Coloradoan / USA TODAY NETWORK
Scottie's Playtime 