Thread by @justdad7

1/ Today's Executive Order is being widely celebrated as a ban on youth transitions. In fact, a total ban is outside of executive power and even the power of Congress, but there is no doubt that medical transition of minors will be significantly limited.
whitehouse.gov/presidential-a…

2/ All federal agencies are ordered to rescind policies that rely on WPATH guidance and the Secretary of Health and Human Services is directed to publish a literature review of best practices for treatment of gender dysphoria in children within 90 days.

3/ Federal agencies are directed to require that hospitals and universities that receive federal research and education grants "end the chemical and surgical mutilation of children." If this can be enforced, it will shut down all of the biggest gender clinics.

4/ Cutting off federal funding will not affect smaller gender clinics like Planned Parenthood that provide a lot of the hormone prescriptions or the private hospitals that make money performing elective double mastectomies on gender confused teen girls.

5/ Funding of gender medicine under Medicare (not applicable to minors) and Medicaid and the Affordable Care Act will be reviewed but the EO does not provide a lot of specifics. The current HHS guidance on patient privacy will be revised to protect whistleblowers.

6/ Funding for gender transition for minors will be cut under the military health plan (Congress has already approved) and the health insurance plans for federal employees. A huge change if it can be implemented. Expect push back from unions.

7/ The Department of Justice is directed to pursue various initiatives, not all of which may be relevant. There is no connection between female genital mutilation legislation and gender medicine. Even WPATH does not endorse "bottom surgery" on girls before the age of 18.

8/ Federal legislation to create a private right of action for patients affected by chemical and surgical mutilation is probably outside of the constitutional powers of congress. Can any US lawyers comment?

9/ Using the Parental Kidnapping Prevention Act to challenge so-called sanctuary state laws which attempt to subvert bans on gender affirming care may help bring some order to what is likely to be a protracted dispute between states.

10/ Many parts of the EO contain the phrase "consistent with applicable law." There will certainly be a lot of litigation on every aspect of the EO, but some issues may be settled with the US Supreme Court rules on Skremetti.

11/ One thing that the EO will not do is change many minds. People will look at the signature on the EO rather than the scientific evidence behind it. Real change needs to happen at the level of health care professionals and teachers who actually work with gender confused youth.

12/ However, the EO will create new opportunities for debate in universities and professional associations as administrators will be much less ready to give in to transgender activists demands to censure anyone who criticizes the gender affirming model.

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