Supreme Court Sets Up Major Battle Over Transgender Health Care

The Supreme Court has picked up another LGBTQ rights case–and despite the court’s recent hard-rightward swing, it could go either way.

The case, United States v. Skrmetti, will argue whether a law out of Tennessee barring gender-affirming medical procedures for minors violates the equal protection clause of the Fourteenth Amendment. The challengers to the draconian law are three teenagers, aged between 13 and 16 years old, who have received puberty blockers and hormone therapy.

The teens—and several major U.S. medical groups—argue that gender-affirming care is lifesaving care, drastically reducing the rates of depression, anxiety, and reported suicide attempts among transgender and nonbinary kids.

“The future of countless transgender youth in this and future generations rests on this Court adhering to the facts, the Constitution, and its own modern precedent,” said Chase Strangio, deputy director for transgender justice at the ACLU’s LGBTQ & HIV Project, in a press release, decrying the bill as an “openly political effort to wage war” on individual freedoms.

Although Republicans have latched onto the transgender community as a focus of their cruel attacks in recent years, it is unclear if the conservative majority on the nation’s highest court will rule against access. In 2020, in a major win for the LGBTQ community, Chief Justice John Roberts and Justice Neil Gorsuch joined the then-four liberal justices in determining that the 1964 Civil Rights Act protects gay, lesbian, and transgender people from workplace discrimination based on their sexual or gender orientation.

Writing the majority opinion, Gorsuch commented that “the answer is clear.”

Lawyers for plaintiffs could similarly argue that refusing to provide gender-affirming care is discrimination based on someone’s gender. But if they are unsuccessful, then children nationwide will be left without medical care—and it will likely open the door to ban gender-affirming care for adults next.

The justices will hear arguments in United States v. Skrmetti in the fall, with an opinion expected by late June 2025.

As plans for a second, “better” (read: more competent in its authoritarianism) Trump administration take shape six months out from the 2024 election, a frightening new initiative appears to be part of it: the creation of a blacklist of federal workers whom conservatives worry might attempt to block the implementation of Trump policies.

Project Sovereignty 2025, a McCarthyite plan to identify and make public names of governmental employees serving as bulwarks against unconstitutional border and deportation policies, is the creation of former Republican congressional aide Tom Jones and his American Accountability Foundation, an AP report revealed. Jones won a $100,000 grant from the Heritage Foundation to create the blacklist. According to the AP, Jones’s work is based largely on “gut check[s]” and “instinct,” running roughshod over the lives of federal workers to ensure the easy implementation of conservative policies should Trump win in November.

The dystopian measure appears to be the newest scheme of the Heritage Foundation’s Project 2025 agenda. The blacklist is an outgrowth of the agenda, outlined in a 900-page document, to stock the federal government with ideologically sympathetic civil servants willing to shirk their duties to expedite ultraconservative orders. Key to Project 2025 is the proposed revival of Trump’s Schedule F executive order, a provision that reclassifies civil servants as political appointees, making them easier to fire. Jones’s list of enemies would be used to target workers for removal from the government under Schedule F, which the Biden administration repealed.

The conservative attempt to weaponize the civil service is alarming, if predictable. It follows from a first Trump term that saw constant turnover in leadership, often over perceived disloyalty to the president, and efforts to gum up the works of the administration by resisting civil servants. That the conservative movement is building an infrastructure to circumvent those civil servants who stood up in the face of the Trump administration’s most egregious overreaches should concern those who, resisting invocations of the “fascist” label, insist that despite his fascistic rhetoric, Trump essentially governed as a standard conservative during his time in office. With the weight of legacy conservative institutions like the Heritage Foundation and their open witch-hunting cadres like the American Accountability Foundation, a second Trump administration would be even more disastrous for the rule of law than the first.

Donald Trump pledged over the weekend to begin the “largest deportation operation in history” if elected president, before flying off the rails into one of his most berserk speaking engagements to date, full of promises that ranged from ridiculous to terrifying, and lame complaints about his media coverage. 

Trump’s speech at the Faith and Freedom Coalition’s “2024 Road to Majority” conference Saturday was a deluge of wild and inaccurate claims about immigrants aimed to stir the Christian conservative audience into a frenzy. But soon, things predictably descended into the kind of drivel for which the former president is known. 

While speaking about immigration, Trump interrupted himself, as he insisted that he knew there was a “slight difference” between “prisons and jails” and “mental institutions and insane asylums,” to once again talk about his favorite movie.  

“We have probably close to 20 million people that came in from all parts of the world. They’re gonna have to be gone,” Trump began, before abruptly changing topics.

“Whenever I say Silence of the Lambs, the fake news back there,” he said, pointing to the back of the room, “they say, ‘Oh, he’s talking about—he’s talking about Silence of the Lambs.’” 

So true. 

“When I say ‘the late, great Hannibal Lecter,’ they say, ‘Oh, he likes Hannibal Lecter.’ No, they’re crazy,” he continued. 

Trump has repeatedly mentioned the iconic horror villain as a gross generalization about people who have entered the United States through its southern border, many of whom, he baselessly claims, have escaped from the world’s prisons, mental institutions, and insane asylums, because of course, there is a “slight difference.” 

Unfortunately for Trump, who regularly blunders in his off-the-rails rants, what he described was straight reporting of him weirdly praising a fictional cannibal. Still, he continued to insist that the media is unfairly covering him. 

“When I imitate Joe Biden can’t get off the stage, I walk into a wall, purposely,” Trump said, brilliantly noting that “sometimes they don’t have a wall, you’re free-standing.”

“But I imitate him, and I walk into a wall, and the next day they write ‘Donald Trump Could Not Find His Way Off The Stage,’ no, no!” Trump insisted that the Biden campaign is pushing the narrative that their candidate is “improperly covered,” while whining that he had been improperly covered. 

Throughout his speech, Trump repeatedly lashed out against immigrants in the U.S., who he claimed are “getting comfortable now, they’re going to start hitting us very hard. These people are bad.” 

He even floated the idea of a “migrant league of fighters” in the Ultimate Fighting Championship, which UFC CEO Dana White quickly clarified was a joke. While it may have been a joke, it demonstrates that the former president does not really view immigrants as human. And as a result, his immigration policy is simultaneously unserious and bloodthirsty.

Lara Trump is happy about how her father-in-law, Donald Trump, overturned the landmark abortion rights decision of Roe v. Wade by appointing three conservative Supreme Court justices—and her reasoning is particularly strange.

The younger Trump told Ainsley Earhardt on Fox & Friends Monday morning how Trump’s preferred justices made the “right decision.”

“Well, look, Donald Trump obviously nominated three Supreme Court justices to the bench who made the right decision and actually set Roe v. Wade out and said, listen, this is up to the states,” Trump said. “It shouldn’t be up to a small group of people in Washington, D.C. The most democratic thing now has happened.”

Lara Trump’s words seem rather contradictory, as Donald Trump as well as Justices Neil Gorsuch, Brett Kavanaugh, and Amy Coney Barrett are just a small group of people in Washington, D.C. who are going against overwhelming public support of abortion rights. A poll last month, for example, found that 63 percent of U.S. adults believe abortion should be legal in all or most cases, compared to 36 percent who believe that it should be illegal in all or most circumstances.

Monday is the two-year anniversary of Dobbs v. Jackson Women’s Health Organization, which overturned decades of precedent by removing the federal right to abortion. Ever since, red states have passed laws restricting and banning abortion, and in many cases have faced an electoral backlash. November will be the first post-Dobbs presidential election. Will Trump and the GOP face a backlash of their own?

Representative Ronny Jackson’s time leading the Trump administration’s in-house medical services appears to have colored his perspective on executive drug dependency.

Looking toward Donald Trump’s first match-up against President Joe Biden since he lost four years ago, the former White House physician speculated that Biden would need an extensive cocktail of drugs in order to keep up with his 78-year-old opponent.

“They have to treat his cognition, they have to give him something to think straighter. They have to give him something to wake him up, his alertness. And he’s been agitated, we see that all the time,” Jackson told Fox News Sunday. “That’s a common symptom, or sign of this cognitive disorder that he seems to be suffering from. So they’re probably going to be giving him something that will take the edge off of that as well.”

But that medical expertise comes after bombshell reports that the Trump White House was “awash in speed,” with staffers popping pills and washing them down with alcohol, in large part thanks to Jackson’s leadership as chief medical adviser. Common pill requests included modafinil, Adderall, fentanyl, morphine, and ketamine, according to a Pentagon report released in January. But other, unlisted drugs—such as Xanax—were equally easy to come by from the White House Medical Unit, according to sources that spoke to Rolling Stone.

Presidential prescriptions aren’t exactly unusual: John F. Kennedy Jr. used his White House doctors to fight off back pain, and Richard Nixon relied on his doctors to treat bad moods. But no previous administration has matched the level of debauchery of Trump’s, when in-office pharmacists unquestioningly handed out highly addictive substances to staffers who needed pick-me-ups or energy boosts—no doctor’s exam, referral, or prescription required.

But that wasn’t all Jackson had to say on the matter, instead continuing to deride White House doctors who “didn’t get” Biden’s drug cocktail “right last time,” during the State of the Union address.

“He came out, and he was obviously much more alert, but he was a yelling, angry old man and he still didn’t make a lot of sense,” Jackson said.

Trump’s debate strategies, meanwhile, including bashing CNN debate moderators Dana Bash and Jake Tapper, and accusing Biden of getting a “shot in the ass” to enhance his debate performance.

“He’ll come out all jacked up.… Whatever happened to all that cocaine that was missing a month ago?” Trump said on Saturday.

Who knows where he got that idea.