Coelho, D. R., Chen, A. L., &
Keuroghlian, A. S. (2025).
New England Journal of Medicine.
Abstract
The current U.S. political landscape poses escalating challenges for transgender health. Clinicians, researchers, policymakers, and advocates can act to counteract regressive policies.
Here is my summary:
The evolving political landscape under the Trump-Vance administration presents significant challenges to transgender health in the United States. Executive orders redefining sex and restricting gender-affirming care, coupled with state-level legislative efforts, are systematically dismantling protections for transgender and nonbinary individuals. These policies, often based on misinformation and discriminatory intent, are resulting in clinic closures, increased geographic barriers to care, and the denial of essential, evidence-based medical interventions. The denial of gender-affirming care, widely recognized as lifesaving and crucial for mental health, is having devastating consequences, including heightened risks of depression, anxiety, and suicidal ideation. Legal challenges, such as the United States v. Skrmetti case, highlight the constitutional implications of these restrictions, potentially setting precedents that could further limit access to care across numerous states. Moreover, broader policy initiatives, like Project 2025, aim to redefine sex at the federal level, threatening to institutionalize discrimination in healthcare, education, and employment. To counteract these regressive measures, a multi-faceted approach is necessary, encompassing strengthened federal nondiscrimination protections, robust legal advocacy, and the reinforcement of community-based healthcare networks. Professional medical associations need to reaffirm their commitment to transgender health, while integrating legal and medical expertise to combat disinformation. Ultimately, prioritizing the lived experiences of transgender and nonbinary individuals and advocating for equitable policies are critical to safeguarding their health and well-being.
