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    I’m a trans teen in Missouri. Why is the state trying to take away my healthcare? | Chelsea Freels

    According to a Washington Post-KFF poll, only 43% of cisgender people (a person whose gender identity aligns with their assigned sex at birth) know a transgender person, so allow me to introduce myself.My name is Chelsea Freels and I use she/her pronouns. I’m a transgender junior at Clayton high school in Missouri. I love learning about psychology, computer science, and political and queer theory. After the pandemic relinquished its grip enough to open schools, I joined and have helped lead the business and media side of Clayton high school’s first robotics team. (Go RoboHounds!)Two years ago, I started coming out to my peers as Chelsea. While I started by coming out first to my transgender friends, I eventually came out to my robotics team and the rest of the school shortly after. In the same timeframe, I started seeing an endocrinologist at the Washington University Transgender Center to explore the implications of beginning gender-affirming healthcare. During my time at Washington University’s clinic, I learned about the benefits and risks of medically transitioning in great detail.Since medically transitioning I’ve never been happier. I’ve recovered from my gender dysphoria-fueled depression and made more friends than ever before. Additionally, I’ve been able to do well in difficult classes and starting gender-affirming care felt like replacing an underlying sense of dread with hope for the future. Due to gender-affirming care, I’m able to see a future with me in it.However, those hopes were spoiled earlier this year when Missouri’s state government decided transgender kids had too many rights. In service of that cruel objective, the Missouri state senator Mike Moon introduced senate bill 49, while Missouri’s unelected attorney general, Andrew Bailey, introduced the most extreme gender-affirming healthcare ban in the country via an “emergency rule”.Of the duo’s governmental policies, Moon’s SB 49 appears the most likely to carry the force of law. SB 49, misleadingly titled the Save Adolescents from Experimentation Act, bars all gender-affirming healthcare for minors who haven’t started treatment by 28 August. While the passage of this bill wouldn’t affect me, it would affect my partner and many of my transgender friends who planned to start hormone replacement therapy (colloquially known as HRT) soon.This bill seems designed to appear moderate, in comparison with its other proposed versions, to secure passage. While SB 49’s long list of siblings has been so extreme as to criminalize supportive parents, it’s worth noting that taking away essential healthcare is never an exercise in moderation.Bailey’s emergency regulation is a two-faced exercise in evil, simultaneously claiming that “individuals of any age experiencing gender dysphoria or related conditions should be able to and are able to obtain care in Missouri” and placing un-passable roadblocks, like requiring over 18 months of therapist visits.For reference, the attorney general’s order only lasts for another 274 days, less than half of the 18 months of therapy required. Even the most “humane” part of this order, the provision that allows people already on gender-affirming healthcare to continue their care, is fatally flawed, given the requirement to “promptly” comply with his order.While both SB 49 and the attorney general’s order are terrifying to be on the wrong end of, the attorney general’s rule evokes a unique sense of horror. Until recently, the light for Missouri’s transgender minors has been the candles on an 18th birthday cake. “I can finally start HRT,” my partner said as they told me about their plans for when they turn 18. However, the order attempts to snuff those candles out by instituting a healthcare ban on every transgender person, regardless of their age.Even though Bailey, Moon and their associated conspirators continue trying to remove transgender people from this world, they are certainly doomed to fail. When I talk to transgender kids at Clayton, I can see the terror and anger radiate from their eyes, but I can also see an overpowering sense of joy. Joy for being accepted by their peers, joy for the community we’ve found. Something deep inside knows that things are going to turn out OK for us.For my part, I can say that Moon has (inadvertently) started a queer relationship. I met my partner (who is nonbinary) inside the Capitol, fighting with them against some of SB 49’s impersonators. My partner is extremely smart, strong and gives the best hugs. When I see their face, I know we’re going to win this fight. We may not win today’s battle for gender-affirming healthcare in Missouri, but the forces of love will encroach on the Missouri state capitol as the days fall into years.If you want to help our cause, please love and respect the trans people in your life. We could all use it.
    Chelsea Freels is a transgender activist and a junior at Clayton high school More

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    Ron DeSantis’s Entry Into the Republican Race

    More from our inbox:The Futility of Debating TrumpListen to Trans People, and Detransitioners TooRegulating A.I.: Can It Be Done?Splitting Finances During DivorceMusing About the ‘Best’ Eze Amos for The New York TimesTo the Editor:Re “Hot Mic, Dead Air and Eventually, DeSantis Speaks” (front page, May 25):So Ron DeSantis finally entered the race. Among his highest priorities is a crusade against D.E.I. (diversity, equity and inclusion) and “woke” that we must all witness now.I have three questions for Mr. DeSantis:First: What is wrong with diversity? Ecosystems are more resilient if there is diversity. Likewise for human societies. And diverse societies are more fascinating. Color is interesting; monochrome is boring.Second: What is wrong with equity? Don’t all Americans believe in equality of opportunity and equality before the law? And we know that extreme inequality of income and wealth hurts the economy.Third: What is wrong with inclusion? Which group do we propose to leave out? Don’t all God’s creatures have a place in the choir?Bonus question: D.E.I. is what wokeness is all about. What is so bad about wokeness? Whom does it harm? Where is the angry mob? Why should “woke” go to Florida to die?I put these questions to the governor.Michael P. BaconWestbrook, MaineTo the Editor:While Twitter may have its share of weaknesses, Gov. Ron DeSantis has skillfully demonstrated his leadership qualities and strengths. Choosing facts over fear, education over indoctrination, law and order over rioting and disorder — Mr. DeSantis’s record speaks for itself.Because of his common sense and guidance, Florida is growing now more than ever as people are migrating and planting new roots in the Sunshine State. With Florida as the model, we need look no further than Ron DeSantis as our nation’s future.JoAnn Lee FrankClearwater, Fla.The Futility of Debating Trump Doug Mills/The New York TimesTo the Editor:It is not too early to mention presidential debates. The Times should make an unprecedented recommendation that the sitting president not debate former President Donald Trump during the 2024 campaign.One simply cannot debate an inveterate, incessant liar. I mean that in the most literal sense: Lying is not debating, and it takes two to engage in debate. It cannot be done.Witness the recent CNN debacle, where, even when checked assiduously by the moderator, Mr. Trump repeated nothing but lies. Everyone who could have conceivably been convinced that the former president ignores the truth completely was already convinced. All others will never be convinced.Therefore, there is no upside whatsoever to sharing the stage with such a mendacious bloviator. In fact, it may serve only as an opportunity for the former president to call for another round of “stand back and stand by.” Should President Biden give him that opportunity?David NeuschulzChatham, N.J.Listen to Trans People, and Detransitioners TooChloe Cole, who lived for years as a transgender boy before returning to her female identity, now travels the country promoting bans on transition care for minors. She received a standing ovation at Gov. Ron DeSantis’s State of the State speech in Florida in March.Phil Sears/Associated PressTo the Editor:Re “G.O.P. Focuses on Rare Stories of Trans Regret” (front page, May 17):While the article rightly notes that the campaign to ban gender transition in minors is led by Republicans, it falls into the trap of viewing youth gender medicine and detransition as a right-versus-left issue. Many people who support equality for trans and detrans people insist that a public health lens is crucial.The article doesn’t mention the growing transnational archive of people who detransition, commonly with feelings of regret for having transitioned. If you look at countries with national universal health care systems like Sweden, youth gender care has recently evolved following state-funded reviews of transgender treatment. By contrast, in the U.S., our highly privatized and compartmentalized managed care system contributes to the politicization of this issue to the detriment of all.Perhaps this is why the article seems to downplay the trauma that saturates detransitioners’ testimonies. To mourn the loss of one’s breasts or ability to reproduce is no small matter.Journalists should stop equating detransition with an attack on transgender people. Instead, they should see young people testifying to medical harm as a call for accountability and strive to understand the full range of their experiences without fueling the dangerous right-left divide.Daniela ValdesNew Brunswick, N.J.The writer is a doctoral candidate at Rutgers University who researches detransition.Regulating A.I.: Can It Be Done?Sam Altman, chief executive of OpenAI, believes that developers are on a path to building machines that can do anything the human brain can do.Ian C. Bates for The New York TimesTo the Editor:Re “The Most Important Man in Tech (Right Now)” (Business, May 17):Warnings about the enormous dangers of artificial intelligence are warranted, but mere calls for “regulations” are empty. The question is not whether regulatory regimes are needed, but how to control the uses to which A.I. can be put.Anything human or nonhuman that is capable of creative thought is also capable of creating mechanisms for self-preservation, for survival. The quest for a “precision regulation approach to A.I.” is likely to prove elusive.Norman Cousins, Carl Sagan, Alvin Toffler and many others have presciently warned that technological advances provided both a cure to some of humanity’s afflictions and a curse, potentially threatening human existence.One doomsday scenario would be for tech scientists to ask A.I. itself for methods to control its use and abuse, only to receive a chilling reply: “Nice try!”Charles KegleyColumbia, S.C.The writer is emeritus professor of international relations at the University of South Carolina.Splitting Finances During Divorce Lisk FengTo the Editor:Re “Rebuilding Finances After Divorce” (Business, May 18):Your article is correct in advising spouses that they may “land in financial hot water” unless they seek expert advice concerning splitting retirement assets at divorce. But getting good advice, while a necessity, is not enough.Even if a spouse is awarded a share of a 401(k) or pension benefit as part of a divorce decree, that alone is not enough. Under the federal private pension law ERISA, spouses must obtain a special court order called a qualified domestic relations order (better known as a Q.D.R.O.) to get their rightful share of private retirement benefits.This should be done earlier, not later. Getting a Q.D.R.O. after a divorce is much harder — and sometimes impossible — to get.So, to protect themselves at divorce, the word “Q.D.R.O.” should be part of every woman’s vocabulary.Karen FriedmanWashingtonThe writer is the executive director of the Pension Rights Center.Musing About the ‘Best’ O.O.P.S.To the Editor:Re “Our Endless, Absurd Quest to Get the Very Best,” by Rachel Connolly (Opinion guest essay, May 21):As far as I’m concerned, the best of anything is the one that meets my particular needs, not those of the reviewer, not those of the critic and not those of anybody else.Likewise, what’s best for me is not necessarily best for you. I guess you could say that the “best” is not an absolute; it’s relative.Jon LeonardSan Marcos, TexasTo the Editor:While some may suffer from a relentless pursuit of perfection, some struggle with making choices, period. I’ve witnessed parents trying to get their toddlers to make choices about food, clothing, activities, etc. Hello, they’re 2!I wonder how many suffer from what I call “compulsive comparison” chaos, when one goes shopping after purchasing an item to make sure they got the best deal, even if satisfied with their purchase. True madness.Vicky T. RobinsonWoodbridge, Va. More

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    Conservative attacks on abortion and trans healthcare come from the same place | Moira Donegan

    On Monday, Jim Pillen, the Republican governor of Nebraska, signed a law that bans abortion after 12 weeks of pregnancy and restricts gender-affirming care for anyone under 19. The ban on trans medical care takes effect in October and the abortion ban goes into effect immediately. And so Nebraska has become the latest state to determine through law what might have once been determined by the more pliable tools of custom or imagination: the way that the sexed body a person is born with shapes the kind of life they can live.Be it through forced pregnancy or prohibited transition, the state of Nebraska now claims the right to determine what its citizens will do with their sexed bodies – what those bodies will look like, how they will function and what they will mean. It is a part of the right’s ongoing project to roll back the victories of the feminist and gay rights movements, to re-establish the dominance of men in public life, to narrow possibilities for difference and expression and to inscribe in law a firm definition and hierarchy of gender: that people are either men or women and that men are better.They’re not alone. Abortion bans have been proliferating wildly in the year since the US supreme court eliminated the right in their Dobbs decision, declaring that any state can compel women to remain pregnant, and creating different, lesser entitlements to bodily freedom and self-determination based on sex. But as the abortion bans have spread like an infection across the American south, midwest, and mountain west, they have been accompanied by a related political disease: laws seeking to prohibit minors and sometimes adults, from accessing medical treatments that facilitate gender transitions.Twenty-five states have enacted pre-viability abortion bans since Roe was overturned last summer, although in some states, like Iowa and Montana, abortion has remained legal pending judicial stays. Meanwhile, 20 states now ban gender-affirming care for minors, with a rush of bills being introduced over the past months. In addition to Nebraska, a slew of states have passed transition-care bans in 2023, including Utah, Mississippi, South Dakota, Iowa, Tennessee and Florida. Texas is soon to join them.It is not a coincidence that the states which have the most punitive and draconian bans on abortion have also adopted the most aggressive targeting of transgender people and medical care. The bills are part of the same project by conservatives, who have been emboldened in their campaign of gender revanchism in the wake of Dobbs. Both abortion bans and transition care bans further the same goal: to transform the social category of gender into an enforceable legal status, linked to the sexed body at birth and to prescribe a narrow and claustrophobic view of what that gender status must mean.It is no accident that the states that would forbid a teenager from transitioning are the same that would compel that teenager to give birth; it is no accident that the states with the greatest control over what women do with their reproductive organs are the ones where women’s restrooms have become sites of surveillance and control, with patrons, cis and trans alike, subjected to invasive and degrading inquisitions as to whether they are conforming sufficiently to the demands of femininity. That Nebraska combined these two projects into one bill, then, is less inventive than it is a dropping of pretense: the anti-feminist movement is anti-trans, and the anti-trans panic is at its core anti-feminist.The attacks on gender freedom from the right are not only united in their ideology, but increasingly in their rhetoric. Abortion and trans rights activists have long insisted that both abortion and transition are healthcare. It’s an apt and worthy argument, considering that both involve the interventions of medical professionals, both facilitate the wellbeing and happiness of those who receive them, and both result in horrific health complications when denied, from the high rates of mental distress and horrific, needless pregnancy complications that have been ushered in by Dobbs, to the dramatic rates of suicidal ideation and mental health problems in trans people who are denied the ability to transition. But increasingly, the right has begun to attack the notion of abortion and trans rights as healthcare, arguing that neither pregnancy nor non-transition constitute “illness”.At a recent oral argument over the fate of the abortion drug mifepristone, Judge James Ho, a Trump appointee on the fifth circuit court of appeals whose rabidly conservative opinions and trollish affect suggest supreme court ambitions, argued that the drug should be removed from the market in part because “pregnancy is not a serious illness”. “When we celebrate Mother’s Day,” Ho asked, his voice dripping with contempt, “are we celebrating a serious illness?” In that moment, Ho sounded uncannily like anti-trans activists seeking to ban care for young people, who argue, ad nauseam, that “puberty is not a disorder”.The rhetoric suggests a narrow and myopic view of “health”, the notion that bodies have destinies and should be made to fulfill them regardless of the desires of the people involved. A healthy body, we’re told, is one that conforms to socially imposed gender hierarchies, regardless of how miserable that conformity and imposition makes the people who inhabit those bodies.But while these practices of abortion and transition care constitute medicine and while their outcomes encourage health, it would be a mistake to fight the political battle for these services only on the ground of what counts as “healthcare”. Because the truth is that conservatives do not care about health – they don’t care about the integrity of the medical profession, or about patient outcomes, or about bodies, not really. They care about people, and about making sure that those people stay in line. In the grand tradition of feminists and queers alike, we should refuse to.
    Moira Donegan is a Guardian US columnist More

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    DeSantis Signs Tall Stack of Right-Wing Bills as 2024 Entrance Nears

    The Florida governor is making a grab for national attention ahead of his expected presidential campaign rollout.Gov. Ron DeSantis of Florida, an all-but-declared presidential candidate, has stepped up his headline-hunting travel and events ahead of an official announcement, traversing the state and trying to hoover up national attention as he signs the sharply conservative legislation he believes can propel him to the Republican Party’s nomination.On Wednesday, Mr. DeSantis signed a slew of measures that hit all the culture-clash notes his base has rewarded him for, including bills banning gender-transition care for minors, preventing children from attending “adult live performances” like drag shows and restricting the use of preferred pronouns in schools.“We need to let our kids just be kids,” Mr. DeSantis said at a Christian school in Tampa. “What we’ve said in Florida is we are going to remain a refuge of sanity and a citadel of normalcy.”It was his third consecutive day of holding public bill-signing ceremonies across the state. The ceremonies, which he hosts in his official capacity as governor, allow Mr. DeSantis to promote his political message in settings that he carefully stage-manages as a veritable M.C., calling up additional speakers and then thanking them for their contributions. These events sometimes take on the feel of political rallies.Such a platform gives Mr. DeSantis an advantage over his potential rivals for the presidency — many of whom are either out of office or hold legislative roles — as he sprints toward declaring his candidacy, which is likely to happen by the end of the month.On Monday, his signing of a bill defunding diversity and equity programs at public colleges and universities drew a robust round of news coverage — as well as loud protesters. He and other Republicans who shared the stage mocked the demonstrators, many of them students at New College of Florida, a public liberal arts school in Sarasota that the governor has sought to transform into a conservative bastion.The signing of bills aimed at the L.G.B.T.Q. community on Wednesday was “an all-out attack on freedom,” Joe Saunders, the senior political director of Equality Florida, an advocacy organization, said in a virtual news conference. He noted that Mr. DeSantis had already signed a six-week abortion ban as well as bills that allowed physicians to decline to provide care based on moral or religious grounds.Mr. DeSantis sees freedom “as a campaign slogan in his bid for the White House,” Mr. Saunders said. “The nation should be on high alert, because, today, we are all Floridians.”Some centrist Republicans say the way Mr. DeSantis has pushed Florida to the right on social issues is a potential weakness in a general election. Representatives for Mr. DeSantis did not immediately respond to requests for comment.As he travels the state, the lines between Mr. DeSantis’s roles as governor and potential presidential candidate can sometimes seem blurred.On Tuesday, after he signed several bills near Fort Lauderdale aimed at curbing human trafficking, an issue that the right has tried to weaponize in national politics, Mr. DeSantis received a boost from Florida’s two top Republican legislative leaders, Kathleen Passidomo, the Senate president, and Paul Renner, the House speaker.After the signing concluded, Ms. Passidomo and Mr. Renner stepped up to a lectern — embossed with Florida’s state seal, rather than the “Stop Human Trafficking” sign that the governor had used moments earlier — to endorse Mr. DeSantis for president, an office he is not yet formally seeking.Katie Betta, a spokeswoman for Ms. Passidomo, said that the endorsement was a matter of convenience because the governor and legislative leaders had not been together since the lawmaking session ended on May 5. “It was a good opportunity to answer a question they have both been getting from the press since the day they were sworn in last November,” Ms. Betta wrote in an email, referring to Ms. Passidomo and Mr. Renner.On Wednesday, the main super PAC backing Mr. DeSantis unveiled endorsements from nearly 100 state lawmakers. Behind the scenes, the governor’s allies and political operatives have been jostling with former President Donald J. Trump’s team to secure those pledges. At the federal level, members of Florida’s congressional delegation have swung heavily for Mr. Trump.Mr. DeSantis has now held an official event on every weekday this month. He spends his weekends on political travel, including to the crucial early-voting state of Iowa last Saturday.Since winning re-election in a rout in November, Mr. DeSantis has regularly faced questions at state events about his national political ambitions. For months, he usually fended them off with quips about how he was not interested in petty infighting and how it was too soon to be talking about future campaigns with the annual lawmaking session pending.No more. On Tuesday, Mr. DeSantis jumped at the chance to call out Mr. Trump for dodging a question about abortion. The former president had criticized Florida’s six-week ban as too harsh while remaining noncommittal about what restrictions he might support.“I signed the bill. I was proud to do it,” Mr. DeSantis told reporters. “He won’t answer whether he would sign it or not.”This time, it was the swipe at Mr. Trump that made headlines. More

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    When Their Idea of Liberty Is Your Idea of Death

    At the heart of the American ethos is the contested idea of freedom.In the video announcing his 2024 re-election bid — pointedly called “Freedom” — President Biden staked out his vision, declaring:Around the country, MAGA extremists are lining up to take on bedrock freedoms, cutting Social Security that you’ve paid for your entire life, while cutting taxes from the very wealthy, dictating what health care decisions women can make, banning books and telling people who they can love all while making it more difficult for you to be able to vote.“The question we’re facing,” Biden told viewers, “is whether in the years ahead, we will have more freedom or less freedom. More rights or fewer,” adding:Every generation of Americans will face the moment when they have to defend democracy. Stand up for our personal freedom. Stand up for the right to vote and our civil rights. And this is our moment.The 2024 election shows every sign of becoming a partisan battle to claim ownership of the ideal of freedom, with each side determined to persuade voters that the opposition’s assertions are not just false but a threat to individual and group rights.This dispute is possible because freedom as an abstraction is fraught with multiple and often conflicting meanings. The debate over where to draw the lines between freedom, liberty, rights, democracy, responsibility, autonomy, obligation, justice, fairness and citizenship has been going on for centuries, but has steadily intensified with the success of the liberation movements of the past seven decades — the civil rights, women’s rights, gay rights and sexual rights revolutions.In sharp contrast to Biden, Gov. Ron DeSantis of Florida, in “The Courage to Be Free” — his campaign book, published in February — warns that “the threat to freedom is not limited to the actions of governments, but also includes a lot of aggressive, powerful institutions hellbent on imposing a woke agenda on our country.”The enemies of freedom, DeSantis contends, are “entrenched elites that have driven our nation into the ground,” elites that “control the federal bureaucracy, lobby shops on K Street, corporate media, Big Tech companies and universities.”These privileged few, DeSantis argues, “use undemocratic means to foist everything from environmental, social, and governance (E.S.G.) policies on corporations, forcing as well critical race theory on public schools,” in what the Florida governor calls “an attempt to impose ruling class ideology on society.”This debate fits into a larger context famously described by the political philosopher Isaiah Berlin in his 1958 Oxford University speech, “Two Concepts of Liberty”:If I am prevented by others from doing what I could otherwise do, I am to that degree unfree; and if this area is contracted by other men beyond a certain minimum, I can be described as being coerced, or, it may be, enslaved.Positive freedom, Berlin continued,derives from the wish on the part of the individual to be his own master. I wish my life and decisions to depend on myself, not on external forces of whatever kind. I wish to be the instrument of my own, not of other men’s, acts of will. I wish to be a subject, not an object.Jefferson Cowie, a history professor at Vanderbilt, captured the intensity and depth of division over freedom during the civil rights movement in his book “Freedom’s Dominion: A Saga of White Resistance to Federal Power,” which won the Pulitzer Prize for history this week.Cowie wrote that the governor of Alabama, George Wallace, in his “Segregation now, segregation tomorrow and segregation forever” inaugural speech, on Jan. 14, 1963,invoked “freedom” 25 times — more than Martin Luther King Jr. used the term later that year in his “I Have a Dream” address at the March on Washington. “Let us rise to the call of freedom-loving blood that is in us,” Wallace told his audience, “and send our answer to the tyranny that clanks its chains upon the South.”For Wallace, in other words, the right to maintain segregation was a form of freedom.The dichotomy between the notions of freedom promulgated by George Wallace and the Rev. Dr. Martin Luther King Jr. continues to polarize the nation today.Rogers M. Smith, a political scientist at the University of Pennsylvania, wrote by email in response to my inquiry about the contest over freedom:Biden stands in the liberal tradition going back to F.D.R., which holds that to be truly free, people have to be able to meet their material needs, so that they have opportunities for their diverse pursuits of happiness; and they also need democratic institutions giving them a share in shaping their collective destinies.Ronald Reagan, according to Smith, “thought freedom meant being largely free of government interference in people’s lives, whether through regulation or assistance. He did believe in freedom as democratic self-governance.”For Trump and DeSantis, Smith argued, freedom is more constrained and restrictive. For these two:Freedom means having governmental policies that protect the ways of life they favor against those they don’t. Their notion of freedom is the narrowest: in fact, it is primarily an argument for using coercive governmental power, and in Trump’s case private violence, against all who they see as threats to their preferred ways of life. They support democracy as long as, but only as long as, it produces the results they want.Jack Citrin, a political scientist at Berkeley, pointed out in his email that different types of freedom can impinge on each other as well as create different winners and losers:Negative liberty is freedom from external constraints, particularly from the government. This is the dominant idea, I think, in the Bill of Rights. It is linked to individualism and libertarianism. So I am free to carry a gun on the right, free to have an abortion or change my sex on the left. Positive liberty means the freedom to act to provide collective goods so it is easy to see that there can be a tension between the two.As with many political concepts, Citrin continued:There is an elasticity in this term that allows competing parties to stake a claim for their version of freedom. Biden paints Trump as a threat to one’s freedom to have an abortion or to vote; Trump claims the deep state is a threat to your privacy or legal rights. In addition, one group’s freedom constrains another’s.On April 29, Conor Friedersdorf published “Ron DeSantis’s Orwellian Redefinition of Freedom” in The Atlantic. As its headline suggests, the essay is a wide-ranging critique of the policies adopted under the DeSantis administration in Florida.Friedersdorf cited a recent DeSantis speech — “I don’t think you have a truly free state just because you have low taxes, low regulation, and no Covid restrictions, if the left is able to impose its agenda through the education system, through the business sphere, through all these others. A free state means you’re protecting your people from the left’s pathologies across the board” — which, Friedersdorf remarks, he would describe instead “as an anti-woke nanny state, not a state that values and protects freedom.”Friedersdorf does not, however, limit his critique to the conservative governor and quite likely presidential candidate, pointedly noting that in his own state of California, a Democratic bastion,Our dearth of freedom to build new dwellings has burdened us with punishing housing costs and immiserating homelessness. Our dearth of educational freedom consigns kids from poor families to failing schools. Our higher-than-average taxes do not yield better-than-average public services or assistance. And during the coronavirus pandemic, far from being a refuge of sanity, California responded with a lot of unscientific overzealousness, like the needless closure of beaches and parks.In practice, neither the left nor right has clean hands on the question of freedom.Conservative Republicans, including but not limited to DeSantis, have enacted restrictions on teaching about race and sex in public schools; have banned books in public libraries; barred cities from passing ordinances on the minimum wage, paid sick leave, firearms policy, plastic bags and marijuana decriminalization; and purposefully sought to suppress voting by minorities and college students.While certainly not equivalent, left-leaning students and faculty have led the charge in seeking to “cancel” professors and public figures who violate progressive orthodoxy, in disrupting conservative speakers on campuses and in seeking to bar or restrict teaching material considered hurtful or harmful to marginalized groups.Isabel V. Sawhill, a senior fellow at the Brookings Institution, proposed in an email that Biden and the Democratic Party are well positioned to claim the freedom mantle:I want to suggest two reasons why this focus may not only be warranted but also have great appeal. The first is the battle over abortion rights. The second is the new attitude of Republicans toward the business community.On abortion, she continued, “I would argue that the ability to choose whether or not to have a child is a fundamental right,” adding her belief that:Before the Dobbs decision, we had found a workable compromise on this issue: no or limited abortions after fetal viability around 24 weeks. But the kind of six-week limit that is now the law in Florida and Georgia, not to mention the total ban in 14 other states, is an almost complete abrogation of the rights of women.On the treatment of business, Sawhill wrote: “Republicans have always been the party of corporate America, dedicated to limiting regulation and keeping taxes low. Gov. DeSantis’s attack on Disney and other so-called ‘woke’ companies is beginning to undermine the party’s reputation.”The bottom line, she concluded, was that “when Democrats talk about freedom, it’s not just rhetoric. There is substance behind the message.”Francis Fukuyama, senior fellow at the Freeman Spogli Institute for International Studies at Stanford, makes the case that the threats to freedom from the right are far more dangerous than those from the left.In an April 24 essay, “When Conservatives Used to be Liberals,” he argues that traditionally American conservatives differed from their European counterparts in “their emphasis on individual liberty, a small state, property rights and a vigorous private sector.” These principles, he continued, “defined the Republican Party under Ronald Reagan, which wanted lower taxes, deregulation, federalism and multiple limits on state power.”This understanding of conservatism, Fukuyama writes, “has been upended with the rise of Trumpist populism.”The result: “American conservatives are now talking more like older European ones,” older ones “like Spain’s Francisco Franco or Portugal’s Antonio Salazar, who were happy to see democracy abolished in their countries altogether.”Fukuyama acknowledged:There is plenty to criticize on the woke left, but this new type of conservative is not talking about rolling back particular policies; they are challenging the very premises of the liberal state and toying with outright authoritarianism. They are not simply deluded by lies about the 2020 election, but willing to accept nondemocratic outcomes to get their way.How, Fukuyama asks, could such a dire situation occur in this period of American history?The new illiberal conservatives talk about an “existential” crisis in American life: how the United States as traditionally understood will simply disappear under pressure from the woke left, which then justifies extreme measures in response.In fact, Fukuyama counters:It is hard to think of a time when the United States has been more free than it is in 2023. The much-feared tyranny of the woke left exists only in certain limited sectors of U.S. society — universities, Hollywood, and other cultural spaces, and it only touches on certain issues related to race, ethnicity, gender and sexual identity. It can be bad in these spaces, but most Americans don’t live there.Fukuyama is correct in citing the right’s exaggerated fears of the “woke” political agenda to justify authoritarian assaults on democracy, but he underestimates the adverse consequences of what many voters view as the freedom-threatening excesses of unrestrained liberalism.These include progressive policies that support the release of potentially violent criminals without bail; progressive prosecutors who refuse to press gun cases; the presence of homeless camps with open drug dealing on the sidewalks of Democratic cities; and the mentally ill roaming urban neighborhoods.For many voters, the consequences of these policies and situations are experienced as infringing on their own freedom to conduct their lives in a safe and secure environment, protected from crime, disease and harassment.Homelessness has become the subject of an ongoing debate over the meaning of freedom, a debate taking place now in New York City, where Mayor Eric Adams provoked angry protests — even before the chokehold death of a homeless man, Jordan Neely, by a passenger on an F train in Manhattan on May 1 — with his call to “involuntarily hospitalize people” who are a danger to themselves.In city centers large and small across the country, advocates for the homeless argue that street people without homes should be allowed to live and camp in public places, while others argue that the state should be empowered to close camps that allegedly pose threats to sanitation and public health — with no resolution in sight.William Galston, a senior fellow at Brookings, argues in a 2005 essay, “Taking Liberty,” that “for much of the 20th century, progressives took the lead in both defining freedom and advancing its borders.”From Teddy Roosevelt’s expansion of “the 19th-century laissez-faire conception of freedom to include the liberties of workers and entrepreneurs to get ahead in the world” to F.D.R.’s redefinition “to include social protection from the ills of want and fear,” to the Rev. Dr. Martin Luther King Jr.’s appeal to a “civil and political freedom that included all Americans,” Galston maintains that liberals have successfully argued that freedom often can “be advanced only through the vigorous actions of government.”Liberals began to lose command of freedom in the 1960s, Galston concludes:What began honorably in the early 1960s as the effort to expand freedom of speech and self-fulfillment was transformed just a decade later into an antinomian conception of freedom as liberation from all restraint. Enthusiasts could no longer distinguish between liberty and license, and so lost touch with the moral concerns of average citizens, especially parents struggling to raise their children in what they saw as a culture increasingly inhospitable to decency and self-restraint.“As progressives abandoned the discourse of freedom,” Galston writes, “conservatives were more than ready to claim it.”I asked Galston whether he stood by what he wrote 18 years ago. He replied by email:Mostly, but some of it is dated. I did not anticipate that a commitment to fairness and equality of results would morph into a culture of intolerance on college campuses and other areas where a critical mass of progressives has been reached.Looking toward Election Day, Nov. 5, 2024, there are conflicting signs favoring both left and right in the competition to determine which side is a more effective proponent of freedom.On the right, conservatives can point to two positive developments, both reflected in polls.The first was the May 7 ABC News/Washington Post survey that suggested Joe Biden is more vulnerable than previously recognized. Both Donald Trump and DeSantis led Biden — Trump by 45 percent to 38 percent, DeSantis by 42 percent to 37 percent.The second survey was a May 5 Washington Post-KFF poll showing that “Clear majorities of Americans support restrictions affecting transgender children” and “Most Americans (57 percent) don’t believe it’s even possible to be a gender that differs from that assigned at birth.”By nearly two-to-one margins, respondents said, “trans women and girls should not be allowed to compete in sports with other women and girls” — in high school sports, 66 percent to 34 percent, and in college sports, 65 percent to 34 percent.These data points are politically significant because Biden is a strong proponent of trans rights, committed to protecting the “fundamental rights and freedoms of trans Americans,” including challenges to state laws barring transgender students from “playing on sports teams” consistent with their gender identity.Conversely, there is no question that Republican state legislators and governors have initiated concerted attacks on freedoms supported by liberals, and that many of these freedoms have wide backing among the public at large.These attacks include book banning, opposed by at least four to one, and bans on abortion as early as six weeks into pregnancy. A Wall Street Journal poll in September 2022 found that “62 percent opposed an abortion ban at 6 weeks of pregnancy that only included an exception for the health of the mother, and 57 percent opposed a ban at 15 weeks with an exception only for the health of the mother.”The outcome of the election will determine, at least for a brief period, the direction in which the nation is moving on freedom and liberty. Given the near parity between Republicans and Democrats, neither side appears to be equipped to inflict a knockout blow. But the ABC/Washington Post survey showing both Trump and DeSantis easily beating Biden is a clear warning signal to the Democratic Party and to liberals generally that they cannot — and should not — take anything for granted.The Times is committed to publishing a diversity of letters to the editor. We’d like to hear what you think about this or any of our articles. Here are some tips. And here’s our email: letters@nytimes.com.Follow The New York Times Opinion section on Facebook, Twitter (@NYTopinion) and Instagram. More

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    ‘I am a substantial roadblock’: a Nebraska state senator’s filibuster for trans rights

    When state senator Machaela Cavanaugh set out to block every bill brought by the Nebraskan legislature this session, it was kind of an accident.She was so incensed by the advancement of LB 547, a bill looking to block gender-affirming healthcare for young people in Nebraska, she promised to hold up every single bill the legislature brought – including those she agreed with – unless her colleagues agreed to drop it.If the bill continued to progress, she told her colleagues, she would “burn the legislative session to the ground”.That was 23 February. Ten weeks later, Cavanaugh has spent some several hundred hours speaking on the house floor at length, delaying every single bill the senate tries to pass.Sometimes she has filibustered bills that she would really rather be passing, like one agreeing on state senator salaries – a mere $12,000 a year – which, if she agreed to it, would mean she could get paid. She has filibustered till her lungs became sore; taken naps on her office floor between filibustering; she’s filibustered so much she’s barely seen her family.“I imagine when session is over I will sleep a lot for several days. I’m so exhausted,” Cavanaugh told the Guardian in a phone interview, her voice hoarse.She added: “It wasn’t a deeply thought out plan, it was just the tool I have available to me.” Nebraska’s legislature is technically non-partisan, though each lawmaker identifies either as Republican or Democrat, and that swing is currently in favor of the Republicans, 32-17.“I’m in the minority party here – the only thing I have is time,” she explained. “We have a 90-day session and a limited amount of hours in which we can accomplish whatever we want to accomplish. And so I decided I was going to take control of that commodity. That’s what I’ve been doing ever since,” explains Cavanaugh.Originally, Cavanaugh wanted to force her colleagues’ hands. Would they rather get on with their jobs, passing the huge number of bills – usually more than 200 in one session – required to keep a healthy state moving forward? Or were her colleagues so dead set on passing LB 574 that they would fight over every other bill rather than drop it? So far, they have chosen the latter. But Cavanaugh has stuck to her crusade because she feels she has no other choice.“It targets a vulnerable minority population in such a vicious manner as to deny them access to lifesaving healthcare,” said Cavanaugh. “They are targeting children. I don’t view it as an option to do anything other than fight against it. That’s my job as an elected official,” she says.“I just wish my colleagues would come together and acknowledge this is bad for the state. But they’ve chosen legislating a hateful bill,” said Cavanaugh.One of the bills Cavanaugh has contributed to blocking in recent weeks was a six-week abortion ban in Nebraska.“I’m grateful it failed to move forward. It is a total ban, essentially,” she said, in reference to the fact that many people don’t realize they are pregnant at six weeks, just two weeks after their first missed period. Realizing this, the Republican co-sponsor of the six-week ban also withdrew support from his own bill last week, effectively tanking it – the bill ultimately failed to pass by one vote.Cavanaugh believes there is a marked similarity in the way that Republicans – who have brought 533 anti-trans bills since the 2023 legislative session started – target abortion and trans healthcare.“They talk about the actual healthcare and how horrible it is. They really villainize it. And right before they block access to lifesaving care to people, they say: ‘because children need to be protected’,” she said.“And just like that, you’ve eliminated health care for trans people in Nebraska, and you’ve essentially eliminated trans people’s ability to exist in Nebraska. It’s not about protecting anybody at all.”These arguments certainly sound reminiscent of those used in a huge, ongoing national case, that will decide the fate of a crucial drug used in more than half of abortions in the US.Plaintiffs bringing that case argue mifepristone – which is used in roughly 53% of US abortions – is hurting women and girls. As well as being the preferred method of US abortions, that drug is used in miscarriage care, and for lifesaving abortions. But an argument based on the vulnerability of women could be just the thing that drastically curtails access to the drug.What happens on LB 574 next is unknown. In April, Republicans in Omaha agreed to compromise on the bill, but since then, conversations seem to have broken down. No compromise amendment has been submitted; but Cavanaugh’s colleagues still have 17 days left to try to pass LB 574 if they choose to. It’s unclear if Republicans will have the votes to pass the bill if it is advanced.Cavanaugh and two of her closest allies in the battle against LB 574 – senators John Fredrickson and Megan Hunt – will continue to fight it, regardless.“I think everyone I work with would say that I am a substantial roadblock. They all are as frustrated with me as I am frustrated with all of it … It still has one more round of debate, and it could fail or pass. If it fails, I will stop talking. And if it passes, I will continue talking,” said Cavanaugh.Even if it does pass, Cavanaugh believes the bill won’t make it past an appeals court if challenged – because late last year, the eighth circuit court of appeals blocked an almost identical bill brought in Arkansas.“If this bill passes, it will be tragic for the trans community in Nebraska. It will be tragic for Nebraska writ large … And then it’s likely to be overturned in the courts. And so we will have done all of this harm and it won’t even get the result that they wanted,” she said.But she is looking forward to the session being over, and finally seeing her children and her partner. “I just want to do normal things that normal people do. Over the last 10 weeks, I’ve missed a lot,” she said. More

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    What Should Kamala Harris’s Role Be Now?

    More from our inbox:Conflict in Montana Over a Transgender LawmakerWomen at Peace TalksMedical Assistance in DyingVice President Kamala Harris with President Biden at the White House in February.Doug Mills/The New York TimesTo the Editor:Re “Kamala Harris Really Matters in 2024,” by Thomas L. Friedman (column, April 26):Mr. Friedman identifies the heightened peril of this moment and states that President Biden “absolutely has to win.” Having declared his candidacy for a second term, Mr. Biden needs to address age-related questions head on. Consequently, his running mate faces greater scrutiny.Thus far, Vice President Kamala Harris hasn’t forged her own identity. By the very nature of the job, she is confined to a supporting role, but she needs breakout moments of not being a tightly programmed V.P. She must trust her own best instincts. Go off script. (Her handlers will be aghast.) Make mistakes and learn from them.After many years of being the consummate pragmatic politician, Mr. Biden seems to be more fully at ease in his own skin and seems to revel in the daunting challenges his presidency faces — head on with admirable grace and courage. He can free her to dare to do the same.Barbara Allen KenneyPaso Robles, Calif.To the Editor:Thomas L. Friedman is way off base in suggesting that Kamala Harris may be saved by giving her a variety of portfolios. She simply lacks the foreign policy and defense chops to justify putting her a heartbeat away from the presidency, especially when the president, if re-elected, would be well into his 80s as his second term progresses.The challenges posed by Russia, China, North Korea and others are simply too great to put a rookie in charge.Rubin GuttmanClevelandTo the Editor:Thomas L. Friedman’s column about a Biden-Harris ticket as a must win in 2024 is spot on. I disagree, however, with his suggestions for how best to elevate Kamala Harris on a national and international stage. Working on rural U.S. initiatives?! Ensuring our pre-eminence in artificial intelligence?!Come on! She needs to be in charge of those things she does best: passionate defense of social justice issues, including international diplomacy and equity for nations that are struggling with ruthless civil wars.We need Kamala Harris to develop and demonstrate her ability to both challenge autocracies and support struggling democracies à la Madeleine Albright.Judy WagenerMadison, Wis.To the Editor:Here’s an idea for the Democratic Party to consider: Get Kamala Harris back to California by having her take Dianne Feinstein’s Senate seat. Ms. Harris was very productive in California as attorney general and later as a senator. Unfortunately the 89-year-old Ms. Feinstein is no longer capable of doing the job.Ms. Harris might relish the opportunity to once again represent the Golden State. Furthermore this would free President Biden to select a running mate without its looking as though he were abandoning his loyal vice president.A relatively progressive running mate such as Senator Mark Kelly of Arizona would likely garner more votes and the electorate wouldn’t have to ponder whether it is Ms. Harris they’d want in the Oval Office should Mr. Biden’s health become an issue.Steven BrozinskyLa Jolla, Calif.To the Editor:While I agree completely with everything that Thomas L. Friedman says in his insightful column, there is one aspect about it that mystifies me. I agree that President Biden’s age is a concern for voters. But why isn’t Donald Trump’s age an even greater concern for voters? He is only four years younger than President Biden, is seriously overweight, and apparently never encountered a hamburger he couldn’t resist.Please stop focusing so obsessively on President Biden’s age without also raising the issue of Mr. Trump’s age and physical condition.Stephen CreagerSan FranciscoConflict in Montana Over a Transgender LawmakerRepresentative Zooey Zephyr, right, with Representative SJ Howell in the hallway outside the main chamber of the Montana House. Ms. Zephyr was monitoring debate on a laptop and casting votes from the hallway.Brittany Peterson/Associated PressTo the Editor:Re “Montana House Bars Transgender Lawmaker From Chamber Floor” (news article, April 27):Our legislature’s problem is that this is the 21st century. Young people and marginalized communities want to express themselves and to have a voice, but many older Montanans remain set in their ways. From Native American rights to climate change to transgender rights, the old guard appears oblivious.Historically, the state has suffered from a lack of diversity, and the influx of recent transplants in communities such as Bozeman and Missoula exacerbates a reactionary mind-set.The state is struggling to find a new equilibrium. Until it does, unfortunately, we may see more pictures in the news of stodgy old people making fools of themselves at the Montana statehouse.In the meantime, all Montanans and all Americans should stand behind Representative Zooey Zephyr, who was barred from participating in deliberations because of her impassioned comments on transgender issues, and the other courageous young people working to bend the arc of history toward justice.Peter CaposselaWhitefish, Mont.Women at Peace TalksA destroyed military vehicle in Khartoum, Sudan.Marwan Ali/Associated PressTo the Editor:Re “The Violence in Sudan Is Partly Our Fault,” by Jacqueline Burns (Opinion guest essay, April 24):The admission that U.S. and international peace negotiators got it wrong by engaging with leaders of Sudanese armed groups must spark a new kind of action to ensure that peace negotiations include women and the concerns that they bring to the table.Women’s exclusion from peace processes is all too common, such as in Syria and Afghanistan, and the consequences are dire. Women must be at the table, not only because that’s what fairness demands.Research has shown that when women are meaningfully included in negotiations, a peace agreement is 35 percent more likely to last at least 15 years. That’s because women’s leadership represents the needs of wider communities, resulting in greater legitimacy and democratic participation.We must also ask: Why? Why was it so much easier to patiently engage armed leaders with no demonstrated interest in peace, while women and other civil society leaders were told to wait their turn? If we can name the answer — patriarchal attitudes that permeate policymaking the world over — we will be in a better position to confront them and get peacemaking right.Yifat SusskindNew YorkThe writer is executive director of MADRE, an international women’s human rights organization and feminist fund.Medical Assistance in Dying Kyutae LeeTo the Editor:Re “Medical Assistance in Dying Should Not Exclude Mental Illness,” by Clancy Martin (Opinion guest essay, nytimes.com, April 21):As a psychiatrist, I have always had concerns about physicians assisting dying in those with terminal medical illnesses. Patients can change their minds about that wish with better pain control. If depression is present, its treatment can help lift spirits and facilitate discovery of reasons for wanting to live longer.Medical assistance in dying (MAID) for mental illness, scheduled to start less than a year from now in Canada, is more problematic, as the wish to die is a symptom of depression. Significant improvement has been made with psychiatric treatments. But the movement for MAID is a clear message that greater progress and access to care are essential.Jeffrey B. FreedmanNew York More

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    It’s not just trans kids: Republicans are coming after trans adults like me, too | Alex Myers

    On Thursday 13 April, Missouri’s attorney general issued an emergency ruling that restricts access to gender-affirming care for both minors and adults, under the guise that hormone therapy is an “experimental use” rather than an FDA-approved treatment. For the past year, transgender youth have been a football for conservative politicians, with their access to gender-affirming care restricted or outlawed in 14 states. But this move by Missouri’s attorney general is the first attack on gender-affirming care for transgender adults; assuredly, it won’t be the last.The first time I tried to get access to gender-affirming care was in 2003. I was 24 years old and lived in Rhode Island. I’d been out as transgender for eight years by then, eight years spent looking (on a good day) like a 14-year-old boy, until finally the me I saw in the mirror and the me I saw in my head didn’t match any more. Only testosterone would make me feel like myself.I told my doctor, who was kind and sympathetic and said she had no idea about the protocols for administration of testosterone to a transgender person. She did find me a list of all the practitioners in Rhode Island who offered such care. There were three names on the list. True, Rhode Island is not a large state, but still: three names. I called them all. Only one would see me, and only after I had gone to therapy and had a psychologist certify that I was ready to transition.That was the standard back then – and that’s what the Missouri attorney general wants to require of adult transgender individuals now, only more extensive. In 2003 in Rhode Island, I needed to see a therapist for at least three visits. The Missouri AG wants documentation of least three years of “medically documented, long-lasting, persistent and intense pattern of gender dysphoria” before an adult can be approved to get hormones. Three years of therapy is lengthy, time-consuming and expensive; three years is a very long time to suffer before being allowed to get medical attention.Moreover, back in 2003, “gender identity disorder” was in the Diagnostics and Statistics Manual (DSM) as a mental disorder. Doctors required transgender individuals to visit a psychologist so that there was a “legitimate” diagnosis to accompany the prescription of hormones – even though, back then and still today, the use of hormones for gender reassignment is an “off-label” use. But that diagnosis was removed from the DSM in 2013, replaced with “gender dysphoria”.That’s the term Missouri’s AG uses in his emergency ruling and, in doing so, trying to return to the idea that being transgender is synonymous with being mentally ill, a narrative that the right has used at several historical moments to marginalize LGBTQ+ individuals. The narrative here isn’t really about a diagnosis or medical legitimacy – it certainly isn’t about the health of the transgender person. The subtext clearly is that transgender people are mentally ill and delusional, and they need a medical authority to help them figure out who they are.The therapist that I saw in 2003 was a gay man who had a lot of compassion for the situation I was in. He knew it was a hoop I had to jump through, and he also knew he had to do his job. He asked me questions, took notes, and eventually wrote a letter certifying that I fit the diagnosis of “gender identity disorder” and that hormone therapy would help treat this disorder.I felt uncomfortable with the process; it seemed to me then and it seems to me now that there isn’t anything wrong with my gender identity. I know very well who I am; it’s how I feel about my body that needed to be addressed in a medical way. That’s the shift that was made in the DSM – away from “gender identity” and towards “dysphoria”. That’s the shift that the Missouri AG is trying to undo and rewrite.But that diagnosis and that therapist’s letter got me a prescription for testosterone in Rhode Island, a medical intervention that was absolutely transformative and life-saving for me.And then I moved to south-west Florida. I called endocrinologist after endocrinologist, asking if they would see me, look at the paperwork from my Rhode Island doctor, look at the letter from the therapist. A dozen said no – one receptionist told me curtly that the doctor didn’t see “transgendereds”. Another hung up on me. A third said, “Are you kidding me?” Eventually, I found a doctor in the Miami area, a three-hour drive away, who agreed to see me.This was typical for transgender care back then and, sadly, now. Unless you live in or near a major metropolitan area, getting a doctor who is trained, comfortable and willing to provide gender-affirming care is not easy. I was a person with a lot of privilege: health insurance from my employer, a good income, the language and education and time to persist in finding a therapist and a doctor who would treat me. For many transgender individuals, this would be too much, especially to maintain for three years. Missouri is trying to pile more work on to an already significant burden.But more than the details of this particular attack, I hope people will see the mounting pattern here. The first wave of legislation came for transgender youth. This next wave is coming for transgender adults. Put these restrictions next to the rulings against abortion and you can see a larger picture of bodily control. Who gets to make medical decisions about their bodies? Not pregnant women. Not transgender people.Back in 2003, I was so frustrated by my own experience that I vowed to work for improvements. I’ve fought for transgender civil rights and worked in particular for transgender students. There were years when we were making headway, when a conversation between a transgender individual and their doctor was sufficient basis to prescribe hormones. Now, it seems like we are at an inflection point. It’s time to strip away the rhetoric and recognize what’s at stake: our rights to control our bodies, our rights to control our identities. And I’m not just talking about transgender people.
    Alex Myers is a novelist and teacher who lives in Vermont More