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    The Question of Transgender Care

    Hilary Cass is the kind of hero the world needs today. She has entered one of the most toxic debates in our culture: how the medical community should respond to the growing numbers of young people who seek gender transition through medical treatments, including puberty blockers and hormone therapies. This month, after more than three years of research, Cass, a pediatrician, produced a report, commissioned by the National Health Service in England, that is remarkable for its empathy for people on all sides of this issue, for its humility in the face of complex social trends we don’t understand and for its intellectual integrity as we try to figure out which treatments actually work to serve those patients who are in distress. With incredible courage, she shows that careful scholarship can cut through debates that have been marked by vituperation and intimidation and possibly reset them on more rational grounds.Cass, a past president of Britain’s Royal College of Pediatrics and Child Health, is clear about the mission of her report: “This review is not about defining what it means to be trans, nor is it about undermining the validity of trans identities, challenging the right of people to express themselves or rolling back on people’s rights to health care. It is about what the health care approach should be, and how best to help the growing number of children and young people who are looking for support from the N.H.S. in relation to their gender identity.”This issue begins with a mystery. For reasons that are not clear, the number of adolescents who have sought to medically change their sex has been skyrocketing in recent years, though the overall number remains very small. For reasons that are also not clear, adolescents who were assigned female at birth are driving this trend, whereas before the late 2000s, it was mostly adolescents who were assigned male at birth who sought these treatments.Doctors and researchers have proposed various theories to try to explain these trends. One is that greater social acceptance of trans people has enabled people to seek these therapies. Another is that teenagers are being influenced by the popularity of searching and experimenting around identity. A third is that the rise of teen mental health issues may be contributing to gender dysphoria. In her report, Cass is skeptical of broad generalizations in the absence of clear evidence; these are individual children and adolescents who take their own routes to who they are.Some activists and medical practitioners on the left have come to see the surge in requests for medical transitioning as a piece of the new civil rights issue of our time — offering recognition to people of all gender identities. Transition through medical interventions was embraced by providers in the United States and Europe after a pair of small Dutch studies showed that such treatment improved patients’ well-being. But a 2022 Reuters investigation found that some American clinics were quite aggressive with treatment: None of the 18 U.S. clinics that Reuters looked at performed long assessments on their patients, and some prescribed puberty blockers on the first visit.Unfortunately, some researchers who questioned the Dutch approach were viciously attacked. This year, Sallie Baxendale, a professor of clinical neuropsychology at the University College London, published a review of studies looking at the impact of puberty blockers on brain development and concluded that “critical questions” about the therapy remain unanswered. She was immediately attacked. She recently told The Guardian, “I’ve been accused of being an anti-trans activist, and that now comes up on Google and is never going to go away.”We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    For the future of US abortion rights under a second Trump presidency, look to Arizona | Margaret Sullivan

    Sometimes, in 2024 America, you have to pinch yourself to make sure you’re not in a long-running dystopian nightmare. Then again, maybe we all are. And no amount of pinching will help.Two scenes from this week stand out.One, thoroughly bizarre, was on the floor of the Arizona senate, where – led by a Republican state senator, Anthony Kern – a fundamentalist Christian prayer group “spoke in tongues” as they knelt together over the state seal, praying for a civil war-era abortion ban to become law again. Kern and the group got their wish; a day later, the Arizona supreme court ruled to allow the law to go into effect.Kern, naturally, is one of those under investigation for falsely claiming to be an Arizona elector as Donald Trump tried to overturn the 2020 election. He also got an Arizona bill passed allowing the Ten Commandments to be posted and read out loud in the state’s public school classrooms. If you had any lofty notions about the separation of church and state, consider them laid to rest.The other memorable scene was on the Larry Kudlow Show on the Fox Business channel, as three middle-aged white guys kicked around the aforementioned ruling by the Arizona supreme court. That 4-2 decision reinvigorates a 160-year-old law that says virtually all abortions are felonies. On the broadcast, radio host Mark Simone was blithe.“Buying a bus ticket to go somewhere to get it is not the worst thing in the world,” Simone – someone who will never be in that situation and apparently lacks the empathy to imagine it – opined.The bus-ticket solution might not even be an option. If Donald Trump is elected again, a national abortion ban is far from unlikely.Just a day before the Arizona ruling, the former US president came out with his long-promised, supposedly new stance on abortion rights, trying to spin up a moderate position. Declining to address whether he would support a national ban, he merely bragged about his role in the demise of Roe v Wade and suggested that abortion rights would now be up to the states, skipping over the obvious reality that they already are.He also blatantly lied about various things, like how Democrats think it’s fine to execute babies and how the entire spectrum of legal experts agreed that Roe should be overturned.Too many in the mainstream media swallowed this whole, at least in all-important headlines, presenting Trump’s position not only as news but as a politically savvy move toward the center.But something more like the truth was available if you turned your gaze from Washington to Arizona, where, in a matter of days, abortion providers can be sentenced to multiple years in prison for providing medical care.Some saw the meaning clearly.“This decision should serve as a warning for the rest of the country,” wrote lawyers Dahlia Lithwick and Mark Joseph Stern on Slate. “In the hands of a far-right court, a dead, openly misogynistic, wildly unpopular abortion ban can spring back to life with a vengeance.”skip past newsletter promotionafter newsletter promotionHow it all will play out is unclear. Since Roe was overturned, voters have expressed their displeasure. Pro-choice measures have carried the day in state after state, including some bright-red ones like Kentucky and Kansas. Next up is Florida, where voters will decide in November whether to override a six-week abortion ban with one that allows access until 24 weeks.Americans in the rightwing media bubble may not hear much about the Arizona ruling. Fox News gave it a mere 12 minutes on Tuesday (as opposed to two hours across eight shows on CNN), according to Media Matters research, and none of Fox’s big-name opinion hosts addressed it on their evening shows. Apparently, the highest priority is getting the cult leader elected again.The draconian decision in Arizona has the potential to deliver at least one swing state – maybe more – to Joe Biden. As my colleague at Columbia Journalism School, professor Bill Grueskin, quipped Tuesday: “It’s not too early for the Fox News decision desk to call Arizona for Biden.” (Fox famously made that controversial – though accurate – call on election night 2020, much to team Trump’s angry displeasure.)Contradictions abound. Trump, having unleashed the dogs on longstanding abortion rights with his supreme court appointments, is simultaneously taking credit for that, and denying that it could go any further. The rightwing media protects him; the mainstream media lets him portray his position as moderate and somehow consistent with the public’s preferences.As for non-politicians, particularly women of child-bearing age, the reality could get much, much worse.It’s a mess. But that’s life in our national nightmare. Let’s hope enough Americans wake up by November to reverse some of the damage.
    Margaret Sullivan is a Guardian US columnist writing on media, politics and culture More

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    Republicans want to use an 1873 law to ban abortion. Congress must overturn that law | Moira Donegan

    They don’t need Congress. The anti-abortion movement is preparing to ban abortion nationwide as soon as a Republican takes the White House, and under a bizarre legal theory, they don’t think they even need congressional approval to do it. That’s because anti-choice radicals have begun to argue that an 1873 anti-obscenity law, the Comstock Act, effectively bans the mailing, sale, advertisement or distribution of any drug or implement that can be used to cause an abortion.For a long time, this was a fringe theory, only heard in the corners of the anti-choice movement with the most misogynist zealotry and the flimsiest concerns for reason. After all, the Comstock Act has not been enforced for more than half a century: many of its original provisions, banning contraception, were overturned; other elements, banning pornography and other “obscene” material, have been essentially nullified on free speech grounds.And, for decades, its ban on abortifacients was voided by Roe v Wade. Now that the US supreme court has thrown out the national abortion right, the anti-choice movement is reviving the long-forgotten law, claiming that the Comstock Act – named after a man who hunted down pornographers, threw early feminists in jail and bragged about driving abortion providers to suicide – should still be considered good law.It’s not a solid legal theory, but like a lot of flimsily reasoned, violently sexist and once-fringe arguments, it is now getting a respectful hearing at the supreme court. At last month’s oral arguments in a case regarding the legality of the abortion drug mifepristone, Justices Samuel Alito and Clarence Thomas both mentioned Comstock, implying that someone – perhaps the FDA, perhaps drug companies – was obliged to suppress abortion medication under the law. Comstock was not at issue in the mifepristone case, but the comments from the justices were not really about the case before them. Rather, they were a signal, a message meant for the conservative legal movement: if you bring us a case that seeks to ban abortion under Comstock, the judges were saying, we will vote for it.So it is a bit puzzling why, in an election year that promises to be dominated by outrage over abortion bans and the erosion of women’s rights, Democrats have not done more to convey the dangers of Comstock to the public. Admittedly, the problem is somewhat complicated and obscure, not quite the kind of thing that can fit on a bumper sticker. But voters have shown that they are willing to pay prolonged attention to the abortion issue: the continued political salience of Dobbs almost two years after the decision has proved this.Democrats have an opportunity, this election year, to corner Republicans on an unpopular issue, to make a case to the voters about the uses of giving them continued electoral power, and to articulate a vision for a modern, pluralist and tolerant society in which women can aspire to a meaningfully equal citizenship and in which ordinary citizens are endowed with the privacy and dignity to control their own sexual lives – without interference from the pantingly prurient Republican party.This election cycle, Democrats must take the obvious stand, and do what is right both in terms of politics and in terms of policy: they must call, en masse, for the repeal of the Comstock Act. Anything less would be political malpractice.It’s not as if Comstock is not being thoroughly embraced by the other side. In addition to its revival by the conservative legal movement and anti-choice activists, Comstock has found enthusiastic backers both in conservative thinktanks and among members of Congress. The rightwing Heritage Foundation cited a maximalist approach to Comstock interpretation and enforcement – and the nationwide total abortion ban that would result – as one of their priorities in their “Project 2025”, a policy plan for a coming Trump administration. Meanwhile, in an amicus brief issued to the supreme court in the mifepristone case, 119 Republican representatives and 26 Republican senators asked the court to ban abortion nationwide using Comstock.These conservatives know that their abortion bans are unpopular; they know that voters do not support the overturning of Roe v Wade, and will never vote for the total abortion bans that they aim for. This is precisely why they are seeking to achieve their ends through the judiciary, the one branch of the federal government that is uniquely immune to democratic accountability. And it is why, rather than attempting to ban abortion through the regular legislative process, they are seeking to do so via the revival of a long-forgotten statute, ignoring that Comstock has been void for decades to exploit the fact that it is technically still on the books.To their credit, a few Democratic lawmakers have begun to vocally campaign to overturn Comstock. The first was Cori Bush, of Missouri, who called for the repeal of what she termed the “zombie statute” in the hours after Comstock was mentioned at the court’s mifepristone oral arguments.She was joined days later by Senator Tina Smith, of Minnesota, who wrote in a New York Times op-ed that she wanted to repeal the law and “take away Comstock as a tool to limit reproductive freedom”. Smith says that she is working to form a coalition of Democratic House and Senate members to “build support and see what legislation to repeal the Comstock Act might look like”. Smith says that she wants to wait to see what, if anything, the supreme court says on the matter in its mifepristone decision, expected by the end of June.There is no need to wait. It is unlikely that any bill to repeal Comstock will get the 60 votes needed to pass the Senate; it is impossible that any such bill would make its way through the Republican-controlled House. But this means that Democrats have nothing to lose in waging a political campaign to draw attention to Comstock, and to force their Republican colleagues to take a stand on it. Voters deserve to know what they’re in for if a Republican captures the White House – and they deserve to know what the Republicans on their ballot think about their own rights to dignity, equality, privacy and sexual self-determination.There might be no item on the current political agenda that more aptly symbolizes the Republican worldview than Comstock. Never really workably enforced and long ignored as out of date, Comstock has come to stand in, in the rightwing imagination, for a virtuous, hierarchically ordered past that can be restored in a sexually repressive and tyrannically misogynistic future.This past never existed, not really, but the fantasy of it now has power in many corners of our law: among the reasons given by Samuel Alito in his majority opinion overturning Roe v Wade was his estimation that the right to an abortion was not “deeply rooted in America’s history and traditions”. This grimly nostalgic Republican aim to allow only those freedoms delineated in “history and tradition” would foreclose an America that adapts with time, that allows new forms of freedom to emerge from history.Comstock is a relic, and a relic is what the Republican right wants to turn America into. Democrats have a chance to make a case for it to be something else – something more like a democracy.
    Moira Donegan is a Guardian US columnist More

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    Texas Judge Blocks Paxton’s Request for Transgender Minors’ Records

    An L.G.B.T.Q. organization had sued after the state’s attorney general asked for documents on children receiving gender-affirming care.A judge on Friday temporarily blocked the Texas attorney general from forcing an L.G.B.T.Q. organization to turn over documents on transgender minors and the gender-affirming care they may be receiving.In Texas, medical care for gender transition is prohibited for minors under a law passed last year. As part of an investigation into violations of the ban, the office of Attorney General Ken Paxton demanded early last month that the nonprofit PFLAG National, which supports families in accessing gender-affirming care for children, provide information on minors in the state who may have received such treatments. But on Friday, Judge Maria Cantú Hexsel of Travis County District Court issued an injunction against Mr. Paxton, just days after PFLAG sued to block the request, saying turning over the documents would cause “irreparable injury, loss or damage” to the group. The judge added that such an ask would infringe on the group’s constitutional rights and that its members would be subject to “gross invasions” of privacy.In a statement, PFLAG’s lawyers, including the American Civil Liberties Union, said they were “grateful that the court saw the harm the attorney general’s office’s intrusive demands posed.”Mr. Paxton’s office did not immediately respond to requests for comment on Friday’s order. But he has previously argued that the information from PFLAG is “highly relevant” to his investigation into medical providers who he says are trying to work around the ban on gender-affirming care for minors. “Any organization seeking to violate this law, commit fraud or weaponize science and medicine against children will be held accountable,” he said in a statement. The judge scheduled a hearing for March 25 to give the attorney general a chance to argue against the injunction. We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    What We Know About the Death of Nex Benedict in Oklahoma

    Nex Benedict, a 16-year-old student, died one day after an altercation with classmates in a school bathroom in Oklahoma, renewing scrutiny over the state’s strict gender policies.The death of a 16-year-old nonbinary student after an altercation in a high school girls’ bathroom in Oklahoma has drawn national attention and outrage from gay and transgender rights groups that say the student had been bullied because of their gender identity.Nex Benedict, who often used the pronouns they and them and told relatives that they did not see themselves as strictly male or female, died in early February, one day after the altercation with three girls at Owasso High School. Details over what happened and what exactly caused Nex’s death were unclear, but in a police interview video released Feb. 24, Nex said they had “blacked out” while being beaten on the bathroom floor.The police said the case was still under investigation.Nex’s death and the circumstances around it have put school officials and law enforcement under scrutiny. There has been an outpouring of grief across the country, particularly from the L.G.B.T.Q. community, and a renewed focus on the proliferation of policies that restrict gay and transgender rights.Here’s what we know so far:What happened leading up to Nex’s death?The altercation took place on Feb. 7. The Owasso Police Department said in a statement on Feb. 20 that no police report had been made about the fight until after Nex was taken to a hospital by relatives later the same day.At that point, a school resource officer went to the hospital, the police said. Nex was discharged and went home but was rushed back to the hospital by medics the next day, and died there, the police said.On Feb. 24, the police released a video of Nex’s interview at the hospital on the day of the altercation, which provided the fullest account yet of what happened.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    Support for Teaching Gender Identity in School Is Split, Even Among Democrats

    Americans are deeply divided on whether schools should teach about gender identity, two polls found. But there was broader support for teaching about race.Americans are deeply split over whether gender identity should be taught in school, according to two polls released this week that underscored the extent of the divide on one of the most contested topics in education.Many groups, including Democrats, teachers and teenagers, are split on whether schools should teach about gender identity — a person’s internal sense of their own gender and whether it aligns with their sex assigned at birth, according to a survey by researchers at the University of Southern California and a separate survey by Pew Research Center.But on issues of race, another topic that has fueled state restrictions and book bans, there was broader support for instruction. That extended to some Republicans, the U.S.C. survey found.The results highlight nuances in the opinion over two of the most divisive issues in public education, even as the American public remains deeply polarized along party lines.The U.S.C. survey polled a nationally representative sample of nearly 4,000 adults, about half of whom lived with at least one school-age child, and broke responses out by partisan affiliation.Democrats were by and large supportive of L.G.B.T.Q.-themed instruction in schools, yet were split when it came to addressing transgender issues for younger students in elementary school.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    News Outlet Blames Photoshop for Making Australian Lawmaker’s Photo More Revealing

    9News apologized for the edited photo of the member of state Parliament, Georgie Purcell, which it said was a result of “automation by Photoshop.”A lawmaker in the Australian state of Victoria sat down to watch the nightly news on Monday, expecting to see herself featured as a prominent opponent of duck hunting.But the member of Victoria’s Parliament, Georgie Purcell, noticed that in one photo used on 9News, the tattoos on her midriff were missing.“I saw the image come up on the screen and I thought, ‘That’s really odd,’ because my stomach is heavily tattooed,” Ms. Purcell said on Wednesday.She compared the image with the original photo, which was taken last year by a local newspaper and realized that not only had her tattoos been removed, but that her dress had been turned into a crop top and skirt. “They’ve given me chiseled abs and a boob job,” she said. “I felt really, really uncomfortable about it.”After Ms. Purcell pointed out the modifications on the social media site X, female lawmakers and journalists labeled the editing as sexist and objectifying.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber?  More

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    Utah Sets Restrictions on Transgender People’s Bathroom Use

    The NewsUtah will prohibit transgender people from using bathrooms in public schools and government-owned buildings that align with their gender identity, after Gov. Spencer Cox signed a bill on Tuesday imposing the restrictions.Demonstrators protest the bill on the steps of the Utah State Capitol in Salt Lake City. Marielle Scott/The Deseret News, via Associated PressBackgroundThe bill, House Bill 257, which passed the Legislature last week, set sweeping restrictions for transgender people.Under the bill, also known as Sex-Based Designations for Privacy, Anti-Bullying and Women’s Opportunities, transgender people can use bathrooms that match their gender identity only if they can prove that they have had gender-affirming surgery and have had the sex on their birth certificates changed.In public schools, students can now use only a bathroom, shower room or locker room that aligns with their sex assigned at birth, with few exceptions. For government-owned buildings, including state universities, the restrictions apply only to showers and locker rooms.Violators may face charges for loitering, and government-owned institutions may face fines if they do not enforce the new rules. The state auditor will be required to establish a process to receive and investigate reports of violations.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber?  More