this post was submitted on 21 Dec 2025
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Rather than directly banning Medicaid reimbursement for transgender care, the rule would bar any hospital that accepts Medicaid funding from providing gender-affirming care for trans youth at all, regardless of whether that care is paid for by Medicaid.

The new rule contains no exceptions for patients already receiving care... For many, this would amount to forced medical detransition.

This rule appears to violate multiple U.S. statutes and constitutional limits on federal authority.

The government attempts to get around this by stating that gender affirming care is not part of “the practice of medicine.”

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[–] Armand1@lemmy.world 17 points 3 days ago (1 children)

The Cass Report is transphobic and not based on science. Many of its cited sources are opinion pieces by people with little-to-no scientific background. They also actively excluded subject matter experts from the board.

The Cass Review is a national embarrassment and many in a long line of trying to get rid of trans people.

https://transactual.org.uk/advocacy/critiques-of-the-cass-review/

Gender affirming care is medicine, and it saves lives, money and hardship. Children being banned from using puberty blockers means they then need to reverse their puberty in adulthood using surgeries that were avoidable. These surgeries, while technically covered by the NHS, have a waiting list of 10 years and often require going through conversion therapy to attain. Instead, many trans people face the financial burden of spending 10s of thousands of pounds on correct surgeries abroad or at home under private health care

The system in the UK is broken and only getting worst, and I wouldn't blame trans children and adults for seeking asylum out of the UK and US right now.