Political cartoons / memes / and news I want to share. 4-6-2026

Tomorrow is Ron’s heart catheterization.ย  Today I have reached a breaking point.ย  After I did the things that had to be done this morning I am dissociating.ย  I find my mind simply shutting down.ย  I am losing time not hearing or seeing anything. My mind keeps parking itself in neutral.ย  I have to keep it together one more day. I made Ron his lunch and got him into bed making sure he had his CPAP on.ย  I took out a pork tenderloin for supper, and I will make potatoes and what ever vegitable Ron wants for supper.ย  I am so tired and sore. Hopefully one more day. Hugs


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Image from Bowlby's Bric-a-brac

 

 

 

oh-shit-a-baby: โ€œI was about to fucking scream then I finished reading it lmao โ€

 

#The Princess Bride from What Are You Really Afraid Of?

 

 

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whatareyoureallyafraidof: โ€œ Trumpettes, in one sentence. โ€

 

 

#white people twitter from White People Twitter

 

 

 

#Bernie Sanders from What Are You Really Afraid Of?

 

 

 

#white people twitter from White People Twitter

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

This Week, From Joyce Vance

The Week Ahead

Joyce Vance

The president of the United States greeted the country with this Truth Social post about his intentions in Iran on Easter Sunday: โ€œTuesday will be Power Plant Day, and Bridge Day, all wrapped up in one, in Iran. There will be nothing like it!!! Open the Fuckinโ€™ Strait, you crazy bastards, or youโ€™ll be living in Hell – JUST WATCH! Praise be to Allah. President DONALD J. TRUMP

No one seems to have got so far into the post as to notice that he said โ€œPraise be to Allah,โ€ which he would most certainly say was a jest, if asked. But imagine Joe Biden, or worse still, Barack Obama, saying that โ€œin jestโ€ and how Republicans would have responded. Trump is completely off the rails and Republicans are turning a blind eye, pretending itโ€™s not happening.

Earlier this week, Trumpโ€™s โ€œspiritual advisorโ€ Paula White-Cain compared him to Jesus. Trump, too, was โ€œbetrayed and arrested and falsely accused,โ€ she said. No one in the Republican Party seems to have believed they need to strenuously resist that characterization.

And so, we enter the new week with an unstable president at the helm in wartime. Meanwhile, at home, there are plenty of issues mounting. But Trump seems to have largely gotten away with knocking his connection to Jeffrey Epstein and allegations about his personal conduct off the front burner.

Laura Loomer is influencing policy changes at DOJ

After Trump fired Attorney General Pam Bondi, there appears to be another significant personnel change in the works at DOJ, this one inspired at least in part by Laura Loomerโ€™s dislike of the number three official at DOJ, Associate Attorney General Stanley Woodward. Trump appears to be on the verge of replacing him with the current Assistant Attorney General for the Civil Rights Division, Harmeet Dhillon, who has upended its work and overseen a mass exodus of career personnel.

Woodward was the defense lawyer for one of Trumpโ€™s co-defendants in the Mar-a-Lago case, Walt Nauta. His client hung in there with Trump, instead of flipping and offering testimony against him in exchange for a deal. That worked out well for Nauta, but only because Trump won the election. Most lawyers acting in the clientโ€™s best interests in that type of situation would have worked toward a plea. Lost in the plot from that case was the conflict of interest Woodward had that could easily have kept him from representing Nauta and might have resulted in another lawyer voluntarily stepping aside. Woodward had previously represented one of the witnesses who decided to cooperate with the prosecution after receiving advice from a lawyer who wasnโ€™t connected to other defendants. Judge Cannon permitted Woodward to represent Nauta despite that conflict, after Nauta waived it. Woodward has also represented White House adviser Peter Navarro, who was prosecuted for obstructing Congress when he ignored a subpoena from the January 6 committee, FBI Director Kash Patel when he testified before a grand jury about Trumpโ€™s retention of classified documents, and one of the defendants in the Oath Keepers prosecution.

All that to say, Woodward was a known quantity for Trump when he appointed him. But that doesnโ€™t seem to have been enough to save his job, just over a year into it.

Thereโ€™s been some suggestion on social media that Laura Loomer is, at least in part, responsible for the change. Loomer is a conservative activist and online influencer who has claimed the ability to impact Trumpโ€™s hiring and firing decisions in the past. Last August, Trump was asked about that and said, โ€œShe makes recommendations on things and people. And sometimes I listen to those recommendations, like I do with everybody. I listen to everybody. And then I make a decision.โ€ Loomer has never been a fan of Woodwardโ€™s.

Her concerns center on Woodwardโ€™s wife, apparently, not Woodward. She has had them since before he was confirmed.

Woodwardโ€™s wife apparently has the audacity to have her own views on issues, and they areโ€ฆnot racist. Loomer reiterated her take just before Trump made his move at DOJ, also attacking Todd Blanche, the former Trump criminal defense lawyer who is now in charge of the Justice Department in an acting capacity. Blanche and Woodward may have been surprised to learn that, according to Loomer, theyโ€™re now Democrats.

Thatโ€™s a lot of maneuvering, that benefits Dhillon, who has overseen the dismantling of much of the Civil Rights Divisionโ€™s work, including voter and election protection, and gone on the attack for the administration. That might have made her an attractive candidate for the position to Trump without more. If confirmed by the Senate as โ€œthe Associate,โ€ as the number three position at DOJ is called, Dhillon would supervise her old division, Civil Rights, as well as the Civil Division, the Antitrust Division, the Environment and Natural Resources Division, and an administrative division that oversees grant funding. Itโ€™s a substantial role and could be a stepping stone to a still higher office.

This is more than a personnel squabble within DOJ and warrants our close attention. Since taking over the Civil Rights Division, Dhillon has made a number of decisions with significant consequences that run contrary to the history of the Division, including:

  • Setting priorities for the Division that included putting an end to DEI, supporting gun rights, protecting religious liberty by filing lawsuits challenging what DOJ views as antiโ€‘Christian discrimination, and opposing transgender participation in womenโ€™s sports.
  • Pressuring colleges and universities over DEI programs and allegations of antisemitism. In one notable instance, the president of the University of Virginia was forced out for failing to move quickly enough to end DEI.
  • Ending, as her predecessor Jeff Sessions did, consent decrees with Police Departments. In her case, it was Minneapolis (George Floyd) and Louisville (Breonna Taylor), in cases involving systematic misconduct. She ended investigations in other jurisdictions, changing the environment to one that is far more tolerant of police misconduct.
  • Abandoning employment discrimination cases, as well as the work of the disability section to protect access, and work combating housing discrimination.
  • Countermanding early work in the U.S. Attorneyโ€™s office in Minneapolis to investigate ICE agent Jonathan Ross, who fired the shots that killed Renee Good. Much of the career leadership in that office resigned in the wake of that decision.

We donโ€™t yet know who Trump will nominate to be the next Attorney General. Dhillon was confirmed 52-45 for the Civil Rights job, garnering no votes from Democrats but mustering support from every Republican. Sheโ€™s been effective at pushing her priorities, which are Trumpโ€™s priorities, and at pushing career people out the door. A Justice Department under her leadership might make people long for Bondiโ€™s simpering incompetence.

To come full circle, this was Dhillonโ€™s response to Trumpโ€™s โ€œFuckinโ€™ Straitโ€ post this morning:

The Trump Administration appeals Anthropicโ€™s victory.

Thursday morning, the government filed its notice of appeal after Anthropic won a victory against it in the lower court. That means it will try to overturn Judge Linโ€™s injunction, which prevents Trump/Hegsethโ€™s designation of Anthropic as a supply-chain risk. Weโ€™ll likely see an effort to get an order from the Ninth Circuit to set that injunction aside while the litigation is underway this week

The federal civil rights investigation and prosecution we wonโ€™t see.

The Buffalo Medical Examiner ruled that the death of a legally blind elderly Burmese refugee dropped off by Border Patrol at a closed shop late at night in winter was a homicide. The facts of the case are terrible. And thereโ€™s a federal criminal law designed to address this kind of civil rights violation by federal agents acting โ€œunder color of law.โ€

NBC reported that Nurul Amin Shah Alam died of a burst ulcer caused by severe stress brought on by dehydration and hypothermia, which was brought on by the agentsโ€™ abandonment of him. The statute permits prosecution of agents who deprive a person of their rights because they are an alien. If DOJ were operating properly, there would be an open investigation. The potential charge is a serious one, based on the denial of rights, not a homicide. The punishment under the law, โ€œif death resultsโ€ from agentsโ€™ actions, can be life imprisonment or even the death penalty. Any other DOJ would be focused on getting this case and doing justice.

The DHS shutdown is still on.

The House failed to take action to pass the Senateโ€™s bipartisan funding deal to reopen the Department of Homeland Security last week. That means the shutdown will continue at least until Monday, when Congress is back in Session. The Senate compromise withhold money the administration wanted to push Trumpโ€™s immigration agenda, but would fund DHS until the end of the fiscal year.

TSA workers in the Portland, Maine, airport cheerfully told me last week that they had received some back pay, but had no assurances of receiving paychecks going forward. Hard-working TSA employees are being forced to bear the brunt of Trumpโ€™s inability to run the government. Itโ€™s surprising Democrats arenโ€™t driving this message every day. And, with hurricane and fire seasons approaching, FEMA funding is sure to be an issue soon, as well.

And, DOJ still hasnโ€™t released all of the Epstein Files.

I have no intention of forgetting that there is more to that story.

Thank you for being here with me at Civil Discourse. Itโ€™s going to take all of us, staying informed and working together, to keep the Republic. If youโ€™ve been enjoying the free posts, upgrading to a paid subscription is a great way to help keep the newsletter coming and to contribute to the time and resources it takes to stay on top of law, politics, and this administration.

Weโ€™re in this together,

Joyce

Clay Jones, Leading Kansas

He Has Risen

To vote yes

Clay Jones

This cartoon was drawn for the Fredericksburg Advance. But don’t yell at them for it; you can yell at me.

If you live in Virginia, you have been bombarded with flyers about the special election on redistricting. And it’s not just flyers but also TV commercials, which are also popping up online. We are getting these things from both sides.

There is a special election in November on a state constitutional amendment that would give Democrats as many as four seats in Congress. The measure would also temporarily bypass the stateโ€™s redistricting commission to redraw maps in the middle of the decade.

The stateโ€™s Supreme Court approved the measure to be on the ballot less than a week before early voting began. State Republicans repeatedly tried to stop Democrats from moving forward with the referendum. The irony here is that Republicans claim that voting yes will disenfranchise voters, while they literally tried to keep this off the ballot so people couldn’t vote on it.

This is a direct response to Donald Trump and Republicans redistricting mid-decade to give themselves more seats. Donald Trump even said he was entitled to have more congressional seats. This is one reason why we need to No Kings protest. Donald Trump already believes he’s entitled to win elections heโ€™s lost. (snip-MORE, and it’s on point)


The Parsons Project

by Andrรฉ Swartley

Leading Kansas

Key points at a glance

  • Energy company Deep Fission is in the process of building a new and untested type of underground nuclear reactor in Parsons, KS
  • The Trump administration has reduced regulations to encourage nuclear power production
  • The reactor will likely power data centers for artificial intelligence
  • Large data centers consume huge amounts of water and energy and produce different types of pollution, leading to health risks for nearby residents

In November 2025 a two-year-old energy company called Deep Fission broke ground in Parsons, Kansas. They hope this project will enable them to install the second ever energy producing nuclear reactor in the state, after Wolf Creek, potentially with more reactors on the way in the future. If the early โ€œcharacterizationโ€ drilling goes to plan, they claim the reactor could begin pumping electricity into the grid in the near future.

Parsons is a city of 10,000 in southeastern Kansas, near the Oklahoma border. Iโ€™ve lived in Kansas for most of my life and I had not heard of Parsons until last week. So, why is Deep Fission in Parsons, Kansas, and why now? Not coincidentally, the Great Plains Industrial Park, also located in Parsons, has lately been advertised as a prime location for new data centers to power the trillion-dollar (yes, trillion with a T) artificial intelligence boom forced upon us by large technology corporations and their venture capitalist backers. Which means the Parsons nuclear reactor project would likely come as a package with one or more new data centers, along with potential economic prosperity and a host of legitimate concerns that community members have already raised.

Part 2: The New Nuclear Power

While the Department of Energy set a goal for the Parsons reactor to go online in July of this year, Deep Fission themselves are aiming to connect to the grid by 2027 or 2028. Two years is still an unusually rapid rollout for a nuclear power plant, which usually takes 6-10 years from groundbreaking to full operation.

This reduced timeline comes by way of the Trump Administrationโ€™s efforts to slow the national and worldwide adoption of renewable energies like wind and solar power. In February of this year alone, Trumpโ€™s Department of Energy halted the approval of โ€œ168 projects โ€“ those that focused on renewable energy projectsโ€ while allowing nearly 11,000 other energy projects to proceed as planned, including new nuclear energy projects. Executive Order 14301 in May of 2025 provided Deep Fission with the means to build their experimental nuclear reactor on such a short timetable.

Nuclear energy is typically labeled as โ€œcleanโ€ energy compared to coal, oil, and natural gas, meaning that it releases fewer pollutants into the air and water than fossil fuel consumption. Still, there are two main concerns. First is the disposal of nuclear waste, which ranges from the lightly contaminated clothing of plant workers to the lethally radioactive spent fuel a plant produces over time. This latter โ€œaccounts for just 3% of the total volume of waste, but contains 95% of the total radioactivity.โ€

A relatively new method in the US and Europe for disposing of our most dangerous nuclear waste is to bury it very deep underground, so that it can be surrounded by solid rock to provide the same level of pressure containment as required at structure at a surface nuclear reactor facility. The father-daughter team that eventually founded Deep Fission originally created Deep Isolation to dispose of nuclear waste. Deep Fission takes their concept a step further by placing the entire reactor, and therefore its most dangerously radioactive elements, into a borehole drilled one mile underground.

The second main concern related to nuclear energy production is, of course, accidents or attacks. It is true that large-scale nuclear accidents are very rare, but when they happen, they become instant, globally recognized disasters whose names we all know: Chernobyl, Three Mile Island, Fukushima. The effects are so widespread as to be practically impossible to quantify. The reactor explosion and meltdown in Chernobyl, for example, caused several dozen deaths directly related to radiation exposure, but various studies have predicted anywhere from thousands up to a million eventual additional cancer deaths. Not to mention the environmental and economic cost to the entire region around Chernobyl. And radioactive boars still terrorize people and farmland in the region around the Fukushima plant in Japan.

But those issues are known, and regulations have historically attempted to shore up potential dangers posed by new plants. In contrast, nothing like the underground nuclear reactor in Parsons, Kansas has ever been attempted before, and thanks to Executive Order 14301, will not need to go through long established design and testing phases that other types of nuclear reactors have been subject to in the past. John Young, a mining environmental regulatory specialist who lives in Sedgwick County, asks, โ€œWhy abandon the current regulatory process for something created out of whole cloth with no public input? And no one can define the current regulatory pathways for Federal and State authorizations.

โ€œWhat,โ€ Young asks in frustration, โ€œcould possibly go wrong?โ€

Part 3: Data Centers and Artificial Intelligence

So that is a glimpse into the nuclear energy side of things. Next we must address concerns around data centers and artificial intelligence. Data centers come in different sizes, like the smaller center being proposed in Wellington, KS, which would reportedly โ€œuse roughly 30% of the cityโ€™s electrical capacity while generating an estimated $1.3 million in annual electric utility revenueโ€ while consuming only two gallons of water per day. Larger data centers consume resources less modestly. โ€œAround the country, and the world, there is a land race among the big tech companies for sites for their data centers,โ€ claims a November 2024 investigative report by Rolling Stone. Data centers are much newer than nuclear energy technology, yet the ways in which they harm communities near them have already become apparent.

Water: โ€œLarge data centers can consume up to 5 million gallons per day, equivalent to the water use of a town populated by 10,000 to 50,000 people,โ€ according to a June 2025 study by the Environmental and Energy Study Institute (EESI). And data centers built explicitly to power AI represent the fastest growing portion of the market.

Last year, researchers at the University of California, Riverside calculated that ChatGPTโ€”one of several popular Large Language Models (LLMs) vying for marketplace dominanceโ€”answered about 10,000 queries per second. The processing load to do so guzzled about 6,000 liters (or about 1,000 toilet flushes) of fresh water per second, all day, every day. That is only generating written text. AI photos require more water, and still more for AI video. โ€œThe extraction process is permanent,โ€ explains the University of Alabama at Birmingham Institute for Human Rights. Water used to cool data centers evaporates as it cools hot components, meaning it can no longer be used by people in the region who need water for drinking, cooking, bathing, laundry, and general survival.

Pollution: Unfortunately, it is not only consumption of water to worry about. The evaporation of water cooling data centers leaves behind higher concentrations of nitrates and other contaminants leaked through agricultural fertilizers and pesticides into local water supplies, drastically increasing incidents of โ€œrare cancers, muscle disorders, and miscarriagesโ€ among people who live nearby. Geographically, Parsons, Kansas sits atop the Alluvial and Ozark Aquifers.

Reports of noise pollution have increased near data centers as well. Residents in different Virginia towns experienced disturbing high and low frequency humming in a wide radius around two new data centers.

Energy: New York City is the most populous city in the United States. The population consumes about 11 billion watts of electricity per hour. However, by 2030, โ€œpower usage ofโ€ฆdata centers is projected to rise to nearly 2967 trillion watts an hour,โ€ increasing load and wear on current energy infrastructure and raising energy prices for regular people while tech companies receive sweetheart discounts from local and state institutions.

Gradual Disempowerment: Artificial Intelligence scholars and ethicists have identified a trend they call โ€œgradual disempowerment.โ€ As AI becomes more capable, people will continue to offload, โ€œalmost all societal functions, such as economic labor, decision making, artistic creation, and even companionshipโ€ to their favorite AI service. The scariest part is that these studies have actually measured reduced cognitive ability โ€œat neural, linguistic, and behavioral levelsโ€ after only a few months of using services like ChatGPT.

These same experts predict that the disempowerment will not only come at the individual level, but also at the societal level, as lawmakers turn their attention and favor even more toward tech companies and AI services that increasingly take over tasks that used to be performed by human beings.

DHS and ICE: The Department of Homeland Security (DHS) and Immigration and Customs Enforcement (ICE), and have been using AI models to power their violent and unpopular immigration raids across the country. They are also surveilling, threatening, and creating databases of protesters.

Part 4: What Next?

The purpose of this article is not to overwhelm with doomsaying or inevitability. If the Deep Fission underground reactor works as advertised, it could genuinely provide cleaner energy than fossil fuel and mitigate some of the effects of climate change. But to get there safely, we need to demand transparency and regulatory protections from political and corporate leaders. If enough of us speak up in place like ParsonsTopekaSedgwick County, and every corner of our town, state, country, and world, we embolden those watching, each other, and ourselves to continue building the world we want and deserve.

Trump’s Miami Library Monstrosity Is A Total Scam

tRump couldn’thelp himself but he had to attack Obama making claims of how bad Obama’s library is.ย  Then Sam describes tRump’s grift / scam on his library, using tax free dollars to build a hotel that he will make money from.ย  Then Sam talks about the citizenship birthright case.ย  Hugs

Clay Jones, Walt Whitman?

Walt Whitman, Abraham Lincoln, and the โ€œTerrible Dutiesโ€ of Democracy

Abraham Lincolnโ€™s faith in the Declaration of Independence ultimately influenced Walt Whitmanโ€™s harsh but optimistic appraisal of the American experiment.

Ryan Reft

Walt Whitman and Abraham Lincoln (Library of Congress)

โ€œThe United States are destined either to surmount the gorgeous history of Feudalism, or else prove the most tremendous failure of time,โ€ wrote American poet Walt Whitman in his 1871 work,ย Democratic Vistas. Despite writing in the wake of a brutal civil war and a failing Reconstruction Era, Whitman remained optimistic. โ€œNot the least doubtful am I on any prospects of their material success.โ€

Known more for his poetry, exemplified by Leaves of Grass (1855), Whitmanโ€™s dark 1871 treatise on the nation remains a harsh but ultimately optimistic appraisal of the American experiment. It serves as a useful tool for thinking about the nationโ€™s current state on the 250th anniversary of the Declaration of Independence.

Whitmanโ€™s revolutionary patriotism had long been part of his worldview. He celebrated the Declaration of Independence and the Revolution in the preface to Leaves of Grass, noting that a poet must โ€œenter the essences of the real things and past and present events,โ€ among them โ€œthe haughty defiance of โ€™76, and the war and peace and formation of the constitution.โ€

But for all his celebration of the Declaration and the nationโ€™s founding, he did not mince words regarding the nationโ€™s failings. He wrote of a โ€œhollownessโ€ at the center of American life at the time, calling the business classes depraved and the government saturated in corruption. (snip-go see the rest!)


Trump Age

Trump threatens to bomb Iran back to the Stone Age

Clay Jones

Donald Trump is threatening to bomb Iran back to the Stone Age, which, if he does, would be a war crime.

Trump’s chosen war is with the government of Iran, not the people, yet he continues to threaten to destroy its infrastructure. The more Donald Trump and Pete Hegseth brag about their success in the war, the more it seems that Iran fights back.

Trump tells us that the war is won and that Iran’s ability to wage war is nearly depleted if not already destroyed, yet missiles still rain on Israel and our other allies in the Gulf. And if Iran doesn’t have any weaponry left, then how did they shoot down two American jets? If the war is already won, then why are we still fighting? (snip-click on the title to get the rest!)

Zohran Mamdani Isn’t Backing Down

Because of Mamdani’s policies being for the people to help the people and his huge popularity is going to affect or should affect how other democrats run their races.ย  The people respond to taxing the wealthy more and using those funds to help the lower incomes.ย  Maybe the young today don’t remember how it was before Reagan slashed the taxes on the wealthy when infrastructure was maintained, services for the public were available, when schools were properly funded and higher education was inexpensive and government offices to serve the public were fully staffed along with so much more.ย  But the more the upper incomes take of the country’s money the less is available for the rest of the people.ย  A large part of the democratic party became addicted to that big money from corporate and wealthy donors so they did not fight for the people as they should have instead helping companies and businesses to make more profit.ย  The people saw the shift by the democrats and stopped supporting them.ย  Mamdani has shown how to get the voters back on the democrats side again.ย  Hugs

Trump’s “Endorsement” Of Susan Collins Is Hilarious

You could tell he did not want to do this endorsement.ย  Hugs

Democrats Are FED UP With Party Leaders

This is a great clip on the situation with the democratic party, democratic leadership, and the democratic message.ย  Also the polls on democratic leader ship is in the negative numbers.ย  One reason is the Israeli genocide in Gaza and the minority leader in the Senate, Chuck Schumer has said his number 1 priority is making sure the left keeps supporting israel.ย  The democratic party leadership has been totally captured by the big money donors, corporations, and large lobbying groups like the Israeli lobby AIPAC. It doesn’t make the people feel they are important to him or the party leaders.ย  Hugs

Political Tests?

How gender-affirming care is becoming a political test for top medical groups

Orion Rummler

This story was originally reported by Orion Rummler of The 19th. Meet Orion and read more of their reporting on gender, politics and policy.

The largest medical association in the United States supports gender-affirming care โ€” a stance it has reiterated in different ways over the last 10 years. But as Republicans press leading medical organizations on health care for transgender youth, the American Medical Association (AMA) is the latest group caught between political rhetoric and the complex realities of specialized care that few people receive.  

As patients, families and doctors navigate this care in an increasingly confusing and hostile landscape, what medical groups say matters. But lately, what theyโ€™ve had to say โ€” and how politicians interpret it โ€” has only caused more uncertainty. 

The AMAโ€™s stance was already in question after a January meeting between leaders of major medical groups and Dr. Mehmet Oz, the head of the Centers for Medicare and Medicaid Services. After that meeting, which was first reported by The New York Times, one group in attendance โ€” the American Society of Plastic Surgeons (ASPS) โ€” muddied the waters about whether it had taken a more restrictive stance on gender-affirming care.

Questions soon followed for the AMA, the nationโ€™s most prominent organization representing doctors.

Twenty Republican state attorneys general are pushing for the AMA to broadly oppose gender-affirming care for minors, in response to news coverage about their recommendations around youth surgeries. The attorneys suggest that the AMA may be violating state consumer protection laws by confusing, or even misleading, medical providers and patients about their stance. They mention wanting to โ€œavoid a formal investigationโ€ into the issue. 

The attorneys, led by Steve Marshall in Alabama, wrote a letter in February asking whether the group recommends hormone therapy or puberty blockers to treat gender dysphoria in minors. 

โ€œIf you agree that there is insufficient evidence to support using surgical interventions to treat gender dysphoria in minors โ€” as your recent statement indicates โ€” we do not understand how you can find that there is sufficient evidence to support using hormonal interventions to treat gender dysphoria in minors,โ€ their letter reads. 

This is an escalation of a familiar tactic, said Khadijah Silver, director of gender justice and health equity at Lawyers for Good Government. And if it works, it will be a major weapon in the political fight to delegitimize gender-affirming care, they said. 

โ€œIf you can convince the public that they have shifted stance, thatโ€™s extremely powerful,โ€ they said, referring to the AMA. 

In some ways, that impact is already being felt.

In a recent congressional hearing on rising health care costs, the board of trustees chair for the American Medical Association was asked about how patients across the country are struggling to find doctors. Two hours into the hearing, he was also asked about gender-affirming care for trans youth โ€” a topic that affects few Americans, but takes up a lot of political air. 

Rep. Erin Houchin, a Republican from Indiana, asked why the medical group changed its position on surgeries for trans youth. 

But the AMA maintains that it has not changed its position. 

โ€œIn surgery and minors, our belief is that it should generally be deferred until adulthood. But, we respect the physician-patient-family relationship in determining that,โ€ Dr. David H. Aizuss answered in response to the question from the congresswoman. 

That exchange took only a few minutes out of a hearing that spanned the gamut of crises facing the U.S. health care system, like skyrocketing insurance premiums and a worsening physician shortage. But it represents a growing tension between Republicans and medical groups, as elected officials who oppose gender-affirming care push for major health care organizations to do the same. 

The American Medical Association declined to comment on the attorneys generalโ€™s letter, which had asked for a response by March 25. In a broader statement, the medical group said it supports gender-affirming care. 

โ€œWe support evidence-based treatment for medical care, including gender affirming care,โ€ an AMA spokesperson said in an email. โ€œCurrently, the evidence for surgical intervention in minors is insufficient for us to make a definitive statement. In the absence of clear evidence, surgical interventions in minors should be generally deferred to adulthood. Treatment decisions should be made between the physician and the patient (and family) based on the best medical evidence and clinical judgment.”

That position aligns with the World Professional Association for Transgender Health (WPATH), an authority on medical care for trans people. WPATH recommends that patients generally wait until adulthood before seeking surgery. Trans youth rarely undergo surgery of any kind; of the small number performed on adolescents, the majority are mastectomies. 

If an adolescent does need surgery, WPATH recommends they meet extensive criteria โ€” including a full understanding of reproductive side effects, a yearโ€™s worth of hormone therapy, sustained gender incongruence, plus emotional and cognitive maturity. 

The questions surrounding surgery come on the heels of the American Society of Plastic Surgeonsโ€™ response to the January meeting with Oz. In what the Times described as a โ€œtenseโ€ meeting, Oz pressed leaders of organizations including the AMA and the ASPS on why they recommend gender-affirming care for trans youth. At that meeting, the surgeons group said it would be changing its position, per the Times.

Weeks after the meeting, ASPS released a nine-page statement saying that gender-affirming surgery should be delayed for minors until a patient is at least 19. The surgeonsโ€™ group cited insufficient evidence that benefits for surgery outweigh risks, and pointed to a controversial report created by the Trump administration to back its position. 

The surgeons group noted that it still opposes criminalization of such medical care. The Trump administration celebrated the announcement. 

โ€œToday marks another victory for biological truth in the Trump administration,โ€ said former Deputy Health and Human Services Secretary Jim Oโ€™Neill, in a press release. Oz, who has compared gender-affirming care for minors to lobotomies, applauded the American Society of Plastic Surgeons โ€œfor placing itself on the right side of history.โ€

In the following days, the surgeonโ€™s group appeared to backtrack. The American Society of Plastic Surgeons reportedly told NPR that its position โ€œdoes not include a blanket recommendation for surgery for minors.โ€ The ASPS did not respond to a request for comment on this story. 

The AMA has had its own trouble communicating its position. In a recent internal newsletter from the board chair, the association said that its policy on gender-affirming care has not changed at all; and that it requested a correction from The New York Times in response to the outletโ€™s coverage of its initial statement on youth surgeries. However, the Times says it has received no such requests.

This back-and-forth is taking place against an intense political backdrop: Six states have made it a felony for doctorsto provide gender-affirming care to trans youth. Hospitals across the country have shuttered gender clinics in response to pressure from the administration. As a result, some young patients are cut off in the middle of treatment and medical professionals are grappling with how the law impacts them. 

And despite ample news coverage, gender-affirming care is still not widely understood. 

Very few transgender youth seek and access surgeries. More rely on hormone therapy and puberty blockers to treat gender dysphoria, which is a medical condition that can cause significant distress for trans people. 

Puberty blockers delay the hormones that cause kids to go through puberty, which can be an intense and emotionally fraught time for trans youth. Many families say this treatment is crucial for their childโ€™s wellbeing and prevents distress caused by dysphoria. There are potential risks, like decreased bone density, which is monitored by medical providers. Some providers recommend weight-bearing exercise or diet optimization to boost calcium and vitamin D levels while on puberty blockers. 

Hormone therapy, which involves taking testosterone or estrogen to cause physical changes that align oneโ€™s body with their gender identity, is another treatment that some trans youth receive to alleviate dysphoria. As with puberty blockers, clinics require a mental health assessment as well as parental or guardian consent for the treatment. 

Multiple studies have found that access to these treatments decrease depression and anxiety for trans youth. Butthey are now banned in much of the country, after Republican politicians and conservative lobbying groups flooded statehouses with bills aiming to restrict the care for minors. 

The Endocrine Society and the American Academy of Pediatrics are under federal investigation over their support for gender-affirming care. Both medical groups have sued, as the government seeks information to determine if they have made โ€œfalse or unsubstantiated representationsโ€ regarding the care. 

The attorneysโ€™ general letter to the American Medical Association is leveling up that pressure on medical groups, Silver said. 

โ€œBecause the care is so politicized, any association that stands up and asserts its support for physicians who provide the care, will be made an example of,โ€ they said. 

Justice Jackson In Court, re The 14th Amendment

Black America Rallies Behind Justice Kentanji Jackson as She Shreds Trumpโ€™s Birthright Challenge

Ketanji Brown Jackson stood out from several justices appearing to be skeptical of the presidentโ€™s argument against the Citizenship Clause in the 14th Amendment.

By Phenix S Halley

As the Supreme Court continues to debate President Donald Trumpโ€™s case to end birthright citizenship,ย Justice Ketanji Brown Jacksonย is going viral after clips of her questioning Trumpโ€™s interpretation of the 14th Amendment began circling the internet.

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As we previously told you, the high court heard arguments on Wednesday (April 1) for the landmark case. Jackson stood out from several justices, appearing to be skeptical of the presidentโ€™s argument against the Citizenship Clause in the 14th Amendment. Specifically, the first Black woman Supreme Court Justice grilled Solicitor General D. John Sauer about how enforcing Trumpโ€™s January 2025 executive order would actually work.

โ€œHow does this work? Are you suggesting when a baby is born people have to present documents,โ€ Jackson asked. โ€œIs this happening in the delivery room? How are we determining when or whether a newborn child is a citizen of the US under your rule?โ€ 

The Root reported that the president attempted to axe birthright citizenship on his first day back in the White House and was met with serious backlash from folks who saw the order as an attack against immigrants and an attack on the U.S. Constitution.

Online, folks praised Jackson for getting straight to business. โ€œHad his a** sounding like he just smoked a whole carton of Newport box short cigarettes,โ€ @PatrickJnmarie said.

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Pew Research estimated that 320,000 infants were born on American soil to immigrant parents without authorization in 2023. Under Trumpโ€™s order, babies of millions of migrants who enter the countryโ€“ legally or notโ€“ wouldnโ€™t automatically be eligible for citizenship. This is a complete turnaround from the way the U.S. has viewed birthright citizenship since 1868.

โ€œThis isnโ€™t just a misstep itโ€™s a fundamental misunderstanding of the Fourteenth Amendment to the United States Constitution,โ€ @Popular_EY said.

Other folks online gave President Joe Biden credit for choosing Jackson for her position on the court. โ€œShoutout to President Joe Biden. You did good, kid,โ€ @CarolDright said. โ€œGod love ya.โ€ @WmAG_V agreed, writing, โ€œJoseph Robinette Biden Jr did his MF job when he got Justice KBJ on the bench!โ€

Jackson became the first Black woman to serve as Supreme Court justice back in 2022. Since then, sheโ€™s positioned herself as a liberal leader unafraid to go against her fellow justices on the bench. โ€œJustice Ketanji is head and shoulders above trumps DEI pics on the Supreme Court,โ€ @ClaudetteGGibs1 tweeted.

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But while many Black folks rallied behind Jacksonโ€™s Wednesday remarks, she was also met with conservative and MAGA supporters like Fla. Gov. Ron Desantis, who called her bluff.

Still, it seems Jackson is supported by plenty of Black Americans rooting for her. โ€œKetanji Brown Jackson has more real, hands-on experience in the justice system than any current Supreme Court Justiceโ€”including the Chief,โ€ @lab_ftwtx pointed out. โ€œSheโ€™s been a public defender, a trial judge, and an appellate judge. Sheโ€™s actually worked at every level, not just one side of it. Facts.โ€