https://www.city-journal.org/article/gender-medicine-trans-movement-donald-trump-election
The left-wing gender insanity being pushed on our children is an act of child abuse,” Donald Trump declared in a 2024 campaign video. “On Day One,” Trump vowed, he would sign an “executive order instructing every federal agency to cease all programs that promote the concept of sex and gender transition at any age.” He would also ask Congress to ban child sex-change procedures, prohibit the use of taxpayer dollars “to promote or pay for these procedures” in adults, “support the creation of a private right of action for victims to sue doctors who have unforgivably performed these procedures on minor children.” He pledged to unleash the Department of Justice to “investigate Big Pharma and the big hospital networks to determine whether they have deliberately covered up horrific long-term side effects of sex transitions in order to get rich at the expense of vulnerable patients.”
Demonstrating how even gender ideology’s critics have been conditioned to use its language, Trump said that he would ask Congress to pass a bill declaring that there are only “two genders,” which are “assigned at birth.” Presumably, he meant two sexes, which are determined at conception and recognized at or before birth.
Assuming that these are not empty promises, Trump’s victory in November poses a serious threat to the gender medicine industry. That industry, however, was already on the defensive on the eve of the presidential election. Since 2021, 24 states have passed laws banning the use of puberty blockers, cross-sex hormones, and surgeries for youth who feel discomfort with their sex. An additional two—Arizona and New Hampshire—have prohibited the use of surgeries, but not hormones. A challenge to one of these laws, from Tennessee, is on the Supreme Court’s 2025 docket. The case, U.S. v. Skrmetti, will determine how states can regulate gender medicine—and, with its 6–3 conservative majority, the Court likely will rule in Tennessee’s favor.
Nearly two dozen de-transitioners—young men and (more often) women who were given drugs and surgeries, only to realize later that what they really needed was counseling and time to mature—are now suing their doctors and clinics for medical mistreatment. Though these lawsuits are tough to win, even a single multimillion-dollar verdict or out-of-court settlement could send malpractice insurance premiums soaring and create a chilling effect in states where “gender-affirming care” remains legal.