Dr. Kade Goepferd, who uses they/them pronouns, has received death threats for their work treating transgender youths at Children’s Minnesota Hospital. However, Goepferd is more concerned about the long waitlist at the Gender Health Program, which is the only multispecialty pediatric gender clinic in Minnesota. The waitlist has grown, particularly after bans were implemented in surrounding states, with a 30% increase in calls from trans youths. The surge in out-of-state and relocated patients creates logistical challenges and legal risks for health care professionals due to anti-trans rhetoric.
The bans, now present in 26 states, restrict gender-affirming care for minors, despite recommendations from medical associations. The consequences for violating these bans range from loss of license to criminal charges. Sixteen states have shield laws to protect providers, but these laws have not been tested in court and remain tenuous. The Supreme Court will hear a case on gender-affirming care next term, marking a potential turning point.
The restrictions have driven many trans youths to seek care out of state, straining resources at gender clinics that are still open. Providers are facing insurance issues, cost barriers, and challenges in finding pharmacists to fill prescriptions. Telemedicine offers more flexibility but is inaccessible to most practices. The bans are also limiting opportunities for aspiring gender-affirming care providers, creating a vicious cycle.
Providers are facing relentless harassment from the far right, with threats ranging from angry calls to arson. Despite this, providers remain committed to their work and are advocating for the importance of gender-affirming care. The situation highlights the need for continued advocacy, legal protection, and support for providers and trans youths seeking care.
Photo credit
www.nbcnews.com
