Category: LGBTQ

  • The politics of representation

    The politics of representation

    When I searched for Sarah McBride’s name on March 12, the first thing I saw was a story about a member of the U.S. Congress calling her “Mr. McBride” in an official hearing.

    Ms. McBride is the first congressional representative in United States history to be openly transgender.

    Since 18 November 2024, when McBride was elected to Congress, I’ve seen dozens of articles in which the only thing in question is her gender identity. It’s funny that Republicans in the U.S. Congress have made such a fuss over McBride’s gender, while McBride – the only congressperson representing the state of Delaware – has done nothing of the sort.

    For someone so polarised and one-dimensional by the media, McBride seems intent on collaboration.

    Delawareans have been overwhelmingly supportive of McBride. A University of Delaware poll, which recorded the pre-election numbers, had McBride at 52% of the vote, while her opponent, John Whalen, received 30%. Sarah McBride ended up with a 58% return, which could be considered a landslide.

    This starkly contrasted primaries across the country, with many states flipping Republican, that had gone Democrat in 2020.

    So, what’s the difference between Delaware and McBride, compared to the rest of the nation?

    What voters care about

    For starters, Delaware, where I live, is minuscule compared to its sister states. These conditions make Delaware not only ideal grounds to break history on, but also the only place it could have happened for McBride.

    Delaware does not boast a large number of gay and trans people. A UCLA poll found that only 4.5% of citizens in Delaware are queer and trans and over half are under voting age. By and large, McBride was elected by a primarily straight electorate.

    This election did not contrast with the national sentiment of Democrats. A Pew Research study found that about 64% of Americans believe trans people should be protected from discrimination when it comes to employment, housing, and education. Additionally, democrats had even stronger support of the notion that gender is not assigned at birth.

    Simply put, Delaware and McBride are a good fit.

    McBride is calm, composed, and focusing on her Delaware constituents more than anything else. In fact, she is the first freshman democrat in the 119th Congress to bring a bill to the floor. A bipartisan bill protecting consumers from credit appraisal scams.

    Opposition from Republicans

    Some congressional Republicans prefer to call McBride names rather than work to make a stronger nation.

    Describing McBride’s welcome to D.C. can be summarized in two words: Political Theatre.

    On McBride’s first visit to D.C., she was greeted by a ban on the use of bathrooms in the house by transgender people brought forward by Republican Congresswoman Nancy Mace. This pointed attack by Representative Mace didn’t seem to affect McBride, who was more focused on: “Delivering on the issues that keep Delawareans up at night.”

    In recent months, McBride has been subject to even more unwarranted scrutiny and misnomers from her republican colleagues.

    I spoke with McBride to hear her plans for Delaware, her response to President Trump’s actions, and what she has accomplished thus far in her congressional term.

    Jack McConnel: What was your main reason to run for congressional office? 

    Sarah McBride: So my interest in politics was really rooted in my own journey to authenticity as a young person, as someone growing up here in Delaware, I was scared. I wondered whether the heart of this country was big enough to love someone like me.

    And I faced a crisis of hope. And in that crisis of hope, I went searching for solutions and examples of our world becoming kinder and fairer. And I found a little glimmer of hope as I read history books and saw the through line of every chapter was a story of advocates, activists and a handful of courageous and effective elected officials working together to right the wrongs of our past, to address injustice, to bring people from the shadows and the margins of society into the circle of opportunity.

    I ultimately decided to run for office, though, in 2019 for the state Senate was really the byproduct of my experience as a caregiver to my husband during his battle with terminal cancer.

    Because I know despite the fact that Andy lost his life to cancer, I know how lucky we were. I know how lucky he was to have health insurance that allowed him to get care that prolonged his life. And I know how lucky both of us were to have flexibility with our jobs that allowed him to focus on the full-time job of getting care and me to focus on the full-time job of caring for him.

    McConnel: What are you most proud of so far in your term?

    McBride: First is that I’ve introduced multiple bipartisan bills.

    One with [California Republican] Young Kim that provides consumer protections for Americans against the predatory practices of so-called credit repair organizations.

    The second more recently with [Republican] Representative Mike Lawler from New York, which protects farmers and in so doing helps to lower costs for Delawareans at the grocery store by investing in combating avian flu.

    McConnel: How do you think the Democratic party should respond to the results of the 2024 election?

    McBride: What we can do is we can help to mobilize the public against [President Donald Trump]. Public opinion still matters. We are still under democracy. These people still care about their popularity. They still care about the next election and the goal in this moment as we defend Medicaid in the short run.

    The goal in this moment also has to be to make sure that this president, that the public understands the harms that this president is inflicting on people of every political persuasion across the country. As the public mobilizes against this president, it throws sand in the gears of an authoritarian machine that slows it down, that extends the runway of our democracy so that we can get to the next election and get to the next election.

    McConnel: How do you plan on responding to these movements?

    McBride: Fighting back against that is at the top of my priority list at this moment. In the longer term, obviously, there is an answer to your question, a real effort by this president to illegally and unconstitutionally consolidate power to essentially create absolute power.

    I mean, his first step is to employ what’s called the unitary executive theory, which is absolute authority within the executive branch under the purview of Congress. But he’s also clearly trying to undermine the main power of Congress, the power of the purse. He’s questionable about whether he’s going to listen to the Supreme Court and when all is said and done, making sure that we can’t stop every action by this president. The results of the last election give us limited institutional levers.

    McConnel: Thank you, Representative McBride.

    The main concern McBride reiterated again and again was what she was doing for the Delawareans who elected her. McBride took every opportunity during our interview to highlight the issues most relevant to her constituents. She talked to me about the effort to defund programs Delawareans rely on.

    When asked about what the Democratic Party should be doing going forward, McBride said that Democrats have lost the “art of social change” and that they must be willing to meet people where they are and engage in conversations where people disagree. She pointed towards the 2026 midterms as a place to build momentum towards.

    McBride said when Democrats try to sound the alarm about everything the president is doing, it dilutes the effect of the message. “We can’t ever go to 10 if we’re always at 10,” she said.

    McBride’s goal? Slow down Trump where she can and build support going into 2026.


     

    Questions to consider: 

    1. In what way does Representative Sarah McBride get treated differently than her Congressional colleagues?

    2. What did Delaware voters care about when they voted to elected McBride to Congress?

    3. If you were to vote for a government representative, what issues do you most want that person to tackle?


     

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  • HHS Condemns Gender-Affirming Care in Report That Finds ‘Sparse’ Evidence of Harm – The 74

    HHS Condemns Gender-Affirming Care in Report That Finds ‘Sparse’ Evidence of Harm – The 74


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    This story was originally reported by Orion Rummler of The 19th. Meet Orion and read more of his reporting on gender, politics and policy.

    On Thursday, the Department of Health and Human Services (HHS) published a 400-page analysis of research on gender-affirming care for transgender youth, as directed by President Donald Trump. The agency used the release of the report to declare that available science does not support providing gender-affirming care to trans youth. LGBTQ+ advocacy groups worry the report will be used to further restrict gender-affirming care and to change medical guidelines in ways that harm trans youth.

    The president mandated the report in an executive order condemning the medical treatment — without evidence — as a form of mutilation, amid a broader push by the administration to exclude trans people from public life. Trump’s order asked the health agency to review the “best practices for promoting the health of children who assert gender dysphoria,” while pressuring youth clinics to halt treatment or lose federal funding.

    Now, the HHS has produced that report. The agency combed through research on the outcomes of puberty blockers, hormone replacement therapy, social transition, psychotherapy, and the rare cases of surgeries on adolescents and young adults diagnosed with gender dysphoria. 

    Gender dysphoria, the reason that most trans people undergo gender-affirming care, is a strong and persistent distress felt when one’s body is out of sync with their gender identity. Without treatment, gender dysphoria can lead to severe negative impacts in day-to-day life. 

    The agency states in its executive summary of the report that the document is not meant to provide clinical practice guidelines or issue legislative or policy recommendations. However, the report does imply that health care providers should refuse to offer gender-affirming care to adolescents and young adults on the basis that such care comes with the potential for risk — despite little evidence for that risk actually being found in the report. 

    “The evidence for benefit of pediatric medical transition is very uncertain, while the evidence for harm is less uncertain,” the executive summary states. “When medical interventions pose unnecessary, disproportionate risks of harm, healthcare providers should refuse to offer them even when they are preferred, requested, or demanded by patients.”

    In its research review, the HHS determined that evidence measuring the effects of gender-affirming care on psychological outcomes, quality of life, regret and long-term health is of “very low” quality. This conclusion ignores decades of research, as well as a recent survey of more than 90,000 transgender people in the United States that found an overwhelming majority report more life satisfaction after having transitioned. Access to gender-affirming care has been linked to lower odds of suicidality and depression in trans youth, while gender-affirming surgeries have been found to lower psychological distress for adults.

    Even when analyzing research that the administration deemed low-bias, the HHS found “sparse” to no evidence of harm from gender-affirming care. What’s more, the report frequently found evidence demonstrating the benefits of gender-affirming care — though it ultimately downplays those findings as not significant. 

    Available research on puberty blockers found high satisfaction ratings and low rates of regret. A systematic review of hormone replacement therapy described improved gender dysphoria and body satisfaction. Another found that hormone treatment leads to improved mental health. Two before-and-after studies reported reduced treatment needs or lower levels of suicidality and self-harm after hormone treatment. When measuring safety outcomes of hormone treatment, side effects did not have a major impact on treatment and complications were limited. 

    Despite these findings, the Department of Health and Human Services advertised the report in a Thursday news release as one that “highlights a growing body of evidence pointing to significant risks” of gender-affirming care. At the White House briefing room Thursday, deputy chief of staff for policy Stephen Miller touted the new report and attributed the idea of being transgender as part of a “cancerous communist woke culture” that is “destroying this country.” 

    There are side effects to many of the medications that transgender people — and cisgender people — take to receive gender-affirming care, as is the case with most medical treatments. These side effects, like the risk of decreased bone density when taking puberty blockers, are closely monitored and treated by doctors and communicated to patients.

    LGBTQ+ advocacy organizations denounced the report as a political attack on transgender youth. Multiple groups said that the report’s endorsement of psychotherapy as a “noninvasive alternative” to puberty blockers and hormone treatment amounts to an endorsement of conversion therapy — a practice wherein mental health professionals try to change a youth’s sexual orientation or gender identity.

    “It is already clear that this report is a willful distortion of the evidence intended to stoke fear about a field of safe and effective medicine that has existed for decades, in order to justify dangerous practices which amount to conversion therapy,” said Sinead Murano Kinney, health policy analyst at Advocates for Trans Equality. 

    The Human Rights Campaign, the country’s largest LGBTQ+ rights organization, accused the HHS of producing a report that is attempting to lay the groundwork to replace medical care for trans and nonbinary people with conversion therapy. 

    “Trans people are who we are. We’re born this way. And we deserve to live our best lives and have a fair shot and equal opportunity at living a good life,” said Jay Brown, chief of staff at the Human Rights Campaign. “This report … lays the groundwork to push parents and doctors aside and allow politicians to subject our kids to the debunked practice of conversion therapy.” 

    No authors or contributors are named in the report or in its executive summary. The agency says these names are being initially withheld to “maintain the integrity of this process,” and states that chapters of the document were subject to peer review.


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