Transgender Adults Being Cut From Care After Florida Court Ruling by Erin Reed

by Erin Reed

After a court ruling from the 11th Circuit Court of Appeals allowed an anti-trans law in Florida targeting youth and adults go back into effect, many providers were forced to end care. Read on Substack

*With thanks to Janet.*

Several transgender youth and adults are being told their care will be terminated following a ruling from the 11th Circuit Court of Appeals by a majority-Trump appointed panel. The court ruled that a 2023 law, which restricts transgender care at any age, can go back into effect after being permanently blocked in June 2024.

The ruling, released late Monday, stated that transgender people are not a “quasi-suspect class,” meaning they do not receive the same level of equal protection under the Constitution as other categories such as race, ethnicity, religion, or sex. This decision implies that laws discriminating against transgender people are likely to be considered valid and constitutional by the 11th Circuit Court.

One such law, SB254, was passed in 2023. The law banned gender-affirming care for transgender youth but went further than similar legislation passed in several Republican-led states that year by also restricting care for transgender adults. The bill mandated that care for transgender adults could only be provided by physicians and required that patients receive forms outlining the “risks” of gender transition. Many proposed versions of these forms are filled with disinformation about transgender care.

The physician requirement has proven especially burdensome for transgender adults, as the majority of their care is provided by nurse practitioners. This is because the number of transgender adults far exceeds the capacity of physicians who offer gender-affirming care. Planned Parenthood, the largest hormone therapy provider in the United States, explains, “Most gender-affirming hormone care is provided at PPSP by advanced practice providers (physician assistants, certified nurse midwives, and nurse practitioners) in our health centers or over telemedicine.”

Now, with the law fully in effect, transgender adults who previously had access to care are being notified that their care will no longer be provided.

One anonymous patient shared an email from their provider, QueerMed, which stated, “Unfortunately, Florida has reinstated the ban on care for minors and the restrictions for adults… We can no longer see any patient of any age who is located in Florida.”

See that email here:

Email provided from a QueerMed Patient

Spektrum, a major provider in Florida, was also forced to terminate care and cancel new patient appointments. However, during the period when the law was blocked, the organization reportedly took steps to ensure patients were well-supplied with medication in case the law went back into effect:

“During this little freedom period as I call it … we made good use of that time to make sure all of our patients were well supplied with medication. Although I had hoped that it wouldn’t have been necessary, at least now we can say, I’m glad we did all the things that we did,” said Joseph Knoll, a nurse practitioner at the clinic, as reported by the Associated Press.

Healthcare bans are currently a contentious issue in courts across the United States, with some courts blocking bans on transgender healthcare coverage or provision. A major point of contention is whether discrimination against transgender people qualifies as sex discrimination, which would subject these laws to higher scrutiny regarding their constitutionality.

The Supreme Court is poised to rule on such questions later this year in a case stemming from Tennessee’s trans care ban. If the Supreme Court were to rule that transgender people are not entitled to equal protection under the law, many forms of discrimination against transgender youth and adults could be deemed fully legal.

For trans people in Florida, many cannot afford to wait for such a decision, and many have already fled the state. For those unable to leave, disruptions to their care will likely have significant impacts on their mental and physical health.

“We are deeply disappointed by this decision and the panel’s disregard for the district court’s careful findings and adherence to the Eleventh Circuit’s recent precedent. Allowing these discriminatory restrictions to go back into effect will deny transgender adults and adolescents lifesaving care, and prevent Florida parents from making medical decisions that are right for their children. As the district court found based on voluminous evidence, the record shows that these extraordinary restrictions were based on disapproval of transgender people and serve no purpose other than to harm transgender Floridians. The plaintiffs in this case are considering their options and will take every step possible to protect their right to equal treatment under Florida’s laws, which these restrictions egregiously violate. We will continue fighting for transgender Floridians and their families, and for everyone’s right to make healthcare decisions without government interference,” said the organizations representing the plaintiffs in the case.

Reblog from MPS

With thanks to personnelente-

an important read from Army Times.

Are the Democrats and Kamala Harris anti-LGBTQ+, anti-trans, anti-Palestinians

My view on the people complaining about the Democratic Convention not pushing harder for LGBTQ+ and trans people / rights, and not being more against Israel.

Vance’s Trumped-Up Economics

Robert Reich Aug 25, 2024 (Posting Monday AM)

Friends,

Sorry to interrupt your Sunday but I think it useful in these final weeks before the election to give you the truth on important matters of public policy.

Today, Republican vice-presidential nominee JD Vance told NBC News that the tariffs Trump imposed during his term in office had not raised prices for Americans but had brought a significant number of jobs back to the United States.

Wrong on both counts.

In a careful analysis, researchers found the cost of Trump’s tariffs were “almost entirely borne by U.S. firms and consumers.”

That’s not surprising; tariffs function like taxes by raising the costs of imported goods. Trump’s proposal to raise tariffs on all imports as a means of raising revenue to offset a tax cut is obviously absurd.

Vance is also wrong about employment. Research clearly shows that the Trump tariffs did not bring jobs back to the United States.

Tariffs may be necessary for national security to protect critical industries such as semiconductors. But no one should be fooled into thinking they’re costless for consumers, or good for workers. The 1930 Smoot-Hawley tariff made the Great Depression far worse than it already was.

That Vance would make these claims — which have been so convincingly debunked — should cause all of us some concern. He seems as unreliable as the person who named him his running-mate.

https://robertreich.substack.com/p/vances-trumped-up-economics

The Shinbone Star

I read these whenever I get ’em. I think everyone should, so give it a try when you get a few minutes. Well, unless you already did; I’m a few days late reading this one! 🌞

Still haven’t seen that coffee, but this is a most excellent blog post:

From Courtney’s Weekly Tea

It’s a newsletter I read because I enjoy tea. Also, she’s a part of Romancing the Vote, an organization that does work near and dear to my heart. I also own one of her books, with several more on my wishlist. Anyway, she’s got a little editorial in the letter this week, worthy of a read. There is no link to the letter, but the link to sign up for the letter is here.

“The Purpose of the Postmenopausal Female…

“I’ve been immersed in politics for, um, several weeks. Part of it is hope that finally, endlessly, we will be able to put some of the awfulness of the last years behind us and move forward into a world where we care about an equitable future.

“But also, confession time: JD Vance speaks directly to a very specific grudge that I’m holding.

“You want to know my grudge? I am endlessly grudging against what I call in my head the ‘legal abuser network’—that set of people who think that power is more important than, you know, treating folks with dignity. They’ve aligned themselves with abusers over and over and gaslit everyone who remains. JD Vance is On My List. In other circumstances, ‘stop being such assholes and treat people well!’ would be a moral statement and not a grudge. But they tried to induct me into the ‘no, look, you’ll get power, it’s cool, just pretend the abuse didn’t happen’ club, and so it’s absolutely a grudge and I want them all to fail. 

“But I digress.

“I have been taking a very grim pleasure in watching people flip over rocks and seeing—yet again—that there is JD Vance, writhing away from the light like a many-legged centipede, leaving a trail behind him filled with things like his rancor for childless cat ladies and his belief that the Italians and the Irish were violent immigrants who maybe should have been banned from entering the country in the 1840s, and his statement that the only purpose that a postmenopausal female (it’s always females! Jerks like JD Vance can never use the word ‘women!’) serves is to do childcare.

“Last night, I was thinking about how Vice President Harris has reinvigorated a campaign that many (but not me) thought dead. I was watching Michelle Obama deliver a speech as probably one of the best orators in the nation, possibly beating out her husband who is a generational talent at giving speeches. And I thought about how many women in their generation—a scant decade older than me—faced barriers to entry from so many sides, and how much of who they have become was shaped by opposition.

“And it made me doubly proud to be the party of Not JD Vance, because as we can all plainly see, the purpose of a postmenopausal female is to kick ass.”

Without Comment (from me,)

Trump says he’d consider appointing RFK Jr. to role in administration

By Eric Bradner, CNN  3 minute read  Updated 4:58 PM EDT, Tue August 20, 2024

Donald Trump said Tuesday he would “certainly” be open to Robert F. Kennedy Jr. playing a role in his administration if the independent candidate drops out of the 2024 race and endorses the former president.

“I like him, and I respect him,” Trump told CNN’s Kristen Holmes in an interview after a campaign stop in Michigan.

“He’s a brilliant guy. He’s a very smart guy. I’ve known him for a very long time,” the Republican presidential nominee said. “I didn’t know he was thinking about getting out, but if he is thinking about getting out, certainly I’d be open to it.”

Trump’s comments came after Kennedy’s running mate, Nicole Shanahan, said on a podcast posted Tuesday that the Kennedy campaign is considering dropping out of the race and endorsing Trump. She described the decision as intended to reduce “the risk” that Vice President Kamala Harris defeats Trump.

Trump said he would “love that endorsement, because I’ve always liked” Kennedy.

Asked if he would consider appointing Kennedy to a role in his administration if he wins in November, Trump said he “probably would.”

“I like him a lot. I respect him a lot,” Trump said. “I probably would, if something like that would happen. He’s a very different kind of a guy — a very smart guy. And, yeah, I would be honored by that endorsement, certainly.”

The former president also downplayed the potential for backlash from Republicans for appointing Kennedy, who has taken a number of progressive positions.

“I like smart people, and Republicans like me,” Trump said. (snip-More on the page, linked in the title of this post.)

Robert Reich on Thanking President Biden

We thank you, Joe, by Robert Reich

Tonight is for you Read on Substack

Friends,

Tonight’s opening of the Democratic National Convention in Chicago will be an opportunity for the Democratic Party and the nation to take stock of Joe Biden’s term of office and thank him for his service.

He still has five months to go as president, of course, but the baton has been passed.

Biden’s singular achievement has been to change the economic paradigm that reigned since Reagan and return to one that dominated public life between 1933 and 1980 — and is far superior to the one that has prevailed since.

Biden’s democratic capitalism is neither socialism nor “big government.” It is, rather, a return to an era when government organized the market for the greater good.

The Great Crash of 1929 followed by the Great Depression taught the nation a crucial lesson that we forgot after Reagan’s presidency: markets are human creations. The economy that collapsed in 1929 was the consequence of allowing nearly unlimited borrowing, encouraging people to gamble on Wall Street, and permitting the Street to take huge risks with other people’s money.

Franklin D. Roosevelt and his administration reversed this. They stopped the looting of America. They also gave Americans a modicum of economic security. During World War II, they put almost every American to work.

Subsequent Democratic and Republican administrations enlarged and extended democratic capitalism. Wall Street was regulated, as were television networks, airlines, railroads, and other common carriers. CEO pay was modest. Taxes on the highest earners financed public investments in infrastructure (such as the national highway system) and higher education.

America’s postwar industrial policy spurred innovation. The Department of Defense and its Defense Advanced Research Projects Administration developed satellite communications, container ships, and the internet. The National Institutes of Health did trailblazing basic research in biochemistry, DNA, and infectious diseases.

Public spending rose during economic downturns to encourage hiring. Antitrust enforcers broke up AT&T and other monopolies. Small businesses were protected from giant chain stores. Labor unions thrived. By the 1960s, a third of all private-sector workers were unionized. Large corporations sought to be responsive to all their stakeholders.

But then America took a giant U-turn. The OPEC oil embargo of the 1970s brought double-digit inflation followed by Fed Chair Paul Volcker’s effort to “break the back” of it by raising interest rates so high that the economy fell into deep recession.

All of which prepared the ground for Reagan’s war on democratic capitalism. From 1981 onward, a new bipartisan orthodoxy emerged that markets functioned well only if the government got out of the way.

The goal of economic policy thereby shifted from the common good to economic growth, even though Americans already well-off gained most from that growth. And the means shifted from public oversight of the market to deregulation, free trade, privatization, “trickle-down” tax cuts, and deficit reduction — all of which helped the monied interests make even more money.

The economy grew for the next 40 years, but median wages stagnated, and inequalities of income and wealth surged. In sum, after Reagan’s presidency, democratic capitalism — organized to serve public purposes — all but disappeared. It was replaced by corporate capitalism, organized to serve the monied interests.

**

Joe Biden revived democratic capitalism. He learned from the Obama administration’s mistake of spending too little to pull the economy out of the Great Recession that the pandemic required substantially greater spending, which would also give working families a cushion against adversity. So he pushed for and got the giant $1.9 trillion American Rescue Plan.

This was followed by a $550 billion initiative to rebuild the nation’s bridges, roads, public transit, broadband, water, and energy systems. He championed the biggest investment in clean energy sources in American history — expanding wind and solar power, electric vehicles, carbon capture and sequestration, and hydrogen and small nuclear reactors. He then led the largest public investment ever made in semiconductors, the building blocks of the next economy. Notably, these initiatives were targeted to companies that employ American workers.

Biden also embarked on altering the balance of power between capital and labor, as had FDR. Biden put trustbusters at the head of the Federal Trade Commission and the Antitrust Division of the Justice Department. And he remade the National Labor Relations Board into a strong advocate for labor unions.

Unlike his Democratic predecessors Bill Clinton and Barack Obama, Biden did not reduce all trade barriers. He targeted them to industries that were crucial to America’s future — semiconductors, electric batteries, electric vehicles. Unlike Trump, Biden did not give a huge tax cut to corporations and the wealthy.

It’s also worth noting that, in contrast with every president since Reagan, Biden did not fill his White House with former Wall Street executives. Not one of his economic advisers — not even his treasury secretary — is from the Street.

The one large blot on Biden’s record is Benjamin Netanyahu. Biden should have been tougher on him — refusing to provide him offensive weapons unless Netanyahu stopped his massacre in Gaza. Yes, I know: Hamas began the bloodbath. But that is no excuse for Netanyahu’s disproportionate response, which has made Israel a pariah and endangered its future. Nor an excuse for our complicity.

***

One more thing needs to be said in praise of Joe Biden. He did something Donald Trump could never do: He put his country over ego, ambition, and pride. He bowed out with grace and dignity. He gave us Kamala Harris.

Presidents don’t want to bow out. Both Richard Nixon and Lyndon Johnson had to be shoved out of office. Biden was not forced out. He did nothing wrong. His problem is that he was old and losing some of the capacities that dwindle with old age.

Even among people who are not president, old age inevitably triggers denial. How many elderly people do you know who accept that they can’t do the things they used to do or think they should be able to do? How many willingly give up the keys to their car? It’s not surprising he resisted.

Yet Biden cares about America and was aware of the damage a second Trump administration could do to this nation, and to the world. Biden’s patriotism won out over any denial or wounded pride or false sense of infallibility or paranoia.

For this and much else, we thank you, Joe.