Nate Hochman Profile picture
Jan 5, 2023 24 tweets 10 min read Read on X
A powerful, well-funded coalition is working to bring the transgender movement to red America.

And it's winning—even in deep-red South Dakota.

This is the story of how one of the most conservative states in the country was conquered by gender ideology.🧵nationalreview.com/2023/01/how-ge…
South Dakota has been governed by Republican supermajorities for decades. In a 2018 Gallup survey, its population was ranked as the third-most conservative in the country.

It's not a state where one would expect to find a major conference for transgender medical specialists. Image
But next week, just such an event will be hosted in Sioux Falls. The "Midwest Gender Identity Summit" is set to take place on January 13 — co-hosted by Sanford Health, a Sioux Falls-based healthcare company, and the Transformation Project, a local transgender activist group. Image
Both Sanford and the Transformation Project sit at the crossroads of a variety of factors that have made "cherry-red South Dakota the unlikely epicenter of a transgender uprising on the American Great Plains," as the Washington Post put it in 2020. washingtonpost.com/national/trans…
The first reports of this dynamic came when Sanford—a $7.5-billion medical giant that employs nearly seven times more South Dakotans than any other business in the state—was linked to the death of HB 1217, a 2021 bill that would have banned men from competing in women’s sports. Image
When Governor @KristiNoem surprised conservatives by vetoing that bill, we looked into it. What we found was that a Sanford lobbyist named Matt McCaulley had worked with Noem’s office to kill HB 1217 — and a number of anti-gender ideology bills, too:
Image
Sanford had publicly lobbied to kill the medical conscience rights and youth sex-change laws. After all, its business interests were implicated in these bills—the healthcare company profits from sex-change surgeries + drugs.

Here's what one state lawmaker told me at the time: Image
But Sanford's influence pierces much deeper than Noem's office. The company and its activist allies have lobbied increasingly aggressively against conservative bills that threaten its interests.

In the past few sessions, dozens of those bills have died in the state legislature: Image
How do these bills keep dying in a state controlled by Republicans?

Well, active Sanford employees currently serve as Republicans in the legislature; and the local GOP establishment enjoys generous donations from Sanford-backed healthcare lobbying groups like SDAHO and SDSMA. ImageImage
SDSMA's political action committee is chaired by a Sanford transgender doctor, Dr. Keith Hansen — who just so happens to be presenting on “Providing Gender Affirming Care” at the upcoming gender identity conference. He's also a top professor at the USD Sanford School of Medicine. Image
Hansen, who's based at Sanford Sioux Falls, claims to be an "expert on the medical treatment of transgender children." He lobbied against the proposed ban on puberty blockers—which he himself prescribes. (As reported in a local outlet below).

He's treated children as young as 8. Image
SDSMA, Hansen's/Sanford's lobbying group, continues to push South Dakota left: It's pro-abortion, and boasts about routinely defeating social-conservative bills, including efforts to ban sex-change surgeries for children.

Almost every single bill it's opposed has died. Image
SDAHO, which is chaired by the president of Sanford Sioux Falls—and includes Sanford lobbyists who helped kill the ban on sex-change surgeries for minors on its board—has lobbied against many of the same bills. It's also helped to defeat numerous efforts to stop vaccine mandates. Image
Oh yeah, and both SDAHO and SDSMA have also been working closely with Governor Kristi Noem, state senate president Lee Schoenbeck, and various other establishment Republican leaders to primary every single social conservative in the state legislature:
aol.com/news/gov-krist…
In 2022, Noem herself backed primary challengers to the most conservative members of the state legislature, whose names had been placed on a "hit-list" circulated by Schoenbeck.

And Sanford's lobbying groups are spending hundreds of thousands of dollars to help defeat them. Image
The goal is to "reshape" South Dakota—to stack the legislature with Republicans who will do as they're told, and to neutralize any who might get in their way.

That includes—and I'm not making this up—a number of active Sanford lobbyists simultaneously serving as lawmakers. Image
Doug Barthel, for example, joined Sanford's lobbying team in 2015—a job he's continued since being elected to the South Dakota House in 2017. The average salary for his position at Sanford is $62,462/year—well upwards of four times that of his $14,000 base pay in the legislature. Image
Barthel is a Republican. But he's voted to kill dozens of transgender bills—women's sports, medical conscience rights, bans on youth sex changes, etc.

He's joined by numerous other Sanford employees in the legislature—including two Sanford nurses—with similar voting records. Image
The state senate's Health and Human Services Committee—where many of these bills end up dying—is also dominated by Sanford-backed members. Multiple senators on the committee sued to block a 2016 anti-corruption bill that barred lawmakers from being employed by lobbying interests. Image
SDSMA gave its annual "Friend of Medicine" aware to R. Blake Curd, a senator on the committee who also actively lobbied against the ban on sex-change surgeries for children.

The current chair of the committee, Wayne Steinhauer, was dubbed "state legislator of 2022” by SDAHO. Image
Gender ideology continues to gain ground outside the legislature, too. The Noem-appointed prisons director recently signed off on allowing inmates to transfer to prisons that match their “gender identity” rather than biological sex—and attain sex changes on the taxpayer dime. Image
And last month, SDSU hosted a "kid-friendly" drag show. SDSU is overseen by the state Board of Regents, which is also teeming with Sanford connections.

The head of a local conservative group urged Noem to take action.

So Noem called for him to be fired:
As @RepJonHansen, a conservative lawmaker representing district 25 in the South Dakota house, told me: "This is South Dakota, not California. We’re supposed to be protecting our kids from harmful stuff like this." @NRO
nationalreview.com/2023/01/how-ge…
Here's part of the statement Noem's spokesperson sent me in response to an email I sent asking if they wanted to send a statement for this piece. It's...something:

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More from @njhochman

Oct 16
This guy is from the reddest congressional district in North Carolina.

Just an unbelievable betrayal.
This is a serious—even existential—problem in red America.

Any conservative who's done work at the state level knows that the deep-red states often have the most egregiously liberal Republicans. This is something @RMConservative talks about a lot:
This is true across the board, on any number of key issues. It's something I discovered almost immediately after getting into politics. My first few big breaks were investigative pieces about the mind-bogglingly bad state of local GOPs in the deepest-red parts of the country. Image
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Read 6 tweets
Oct 1
Charleroi, PA is a working-class town of just over 4,000 people. In the past two years, it's been flooded by thousands of Haitian immigrants.

We spent a week on the ground there. The town is completely overwhelmed.

I wrote about the crisis for @im_1776
im1776.com/2024/10/01/cha…
Nestled in southwestern Pennsylvania’s Mon Valley—about 30 miles from Pittsburgh—Charleroi is a poor, primarily white working-class community.

Less than 18% of the residents have a bachelor’s degree, and the median household income is less than $45,000 a year.


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The town was once fed by the region’s booming steel industry, and a glass-making plant based in Charleroi itself—a creation of the Belgian immigrants who settled there.

As late as the 1990s, locals say it was still a wonderful small town to grow up in:
Read 12 tweets
Sep 21
The Guardian's Jason Wilson just wrote a hit piece about me and @America_2100.

Just to give you a sense of how sloppy it was: It's only been up since this morning, but they’ve already had to issue two corrections.

These are the questions he emailed me yesterday. Beyond parody: Image
The hit was supposed to be about our reporting in Charleroi, Pennsylvania—where we've spent the past week, on the ground, reporting on the consequences of a flood of Haitian immigrants into the small working-class town. (See below).
But Wilson couldn't even do the bare minimum research for his reporting. For example—this morning, when the piece went live, it claimed that we had "only recorded interviews with older white residents of the town." Image
Read 8 tweets
Sep 13
This how every single argument for mass immigration goes.

Step 1: "Oh, you have concerns about [X group] coming into your country? Well, here's one person from that group who's good. What do you think of that, huh? Do you hate this person, too??"Image
[when presented with evidence that said person isn't representative of said group writ large]

Step 2: Actually, all those bad things you just mentioned are America's fault. And anyways, it's good for them to come here. I don't have to explain why. It just is.Image
[no, I think that would probably be bad for us]

Step 3: Honestly, who even is "us"? Who is "we"? Does America even exist? Do you know what America is? Because other people think America's something else. So how can you be so sure that America is anything at all?Image
Read 10 tweets
Sep 7
Seeing lots of stories like this on the local Springfield social media pages.

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I wrote this, on the topic of Haitian immigration, back in March:

"That’s the double-edged sword of 'assimilation': The people become more like their adopted home, but their adopted home also becomes more like them."

Image
Anyways, this is an important thread. This story has to go nuclear—it should be one of the only things that elected Republicans are talking about right now:
Read 4 tweets
Sep 7
One of the equally admirable and frustrating things about Americans is how open-minded they are. Even when their town is literally getting invaded by Haitians, their first instinct is to try to patiently explain to the invaders why they need to behave themselves. Image
Imagine the Romans meeting the barbarians at the gates and going, "I have read about some of your countries and it was scary. I understand why you left. But there's a huge cultural difference. So if you want to be part of this great city then you need to understand our culture."
Just to clarify: Obviously, the kind of "open-mindedness" this guy is demonstrating—while heartbreaking—is not admirable in any kind of aspirational sense. As I said to Will below, it's a sort of modern corruption of a traditionally American virtue:
Read 5 tweets

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