The U.S. Supreme Court has sent a chilling message to transgender youth and their families by upholding Tennesseeâs ban on gender-affirming medical care for minors. In a 6-3 decision, the Court ruled the ban doesnât violate the Constitutionâs 14th Amendment, effectively handing conservative lawmakers across the country a green light to double down on similar laws. The decision threatens access to critical health care for more than 112,000 transgender minors in 26 states with active or pending bans.
âThis isnât just legal precedent â itâs sanctioned discrimination,â said Keisha Bell, mother of a transgender college student. âNo parent makes these decisions lightly. Weâre doing whatâs best for our children, and this ruling takes that right away.â
A Blow to Mental Health and Family Autonomy
The consequences of this ruling are not hypothetical. Transgender young people like 19-year-old Violeta Acuna, who began hormone therapy at 17, know firsthand the life-saving impact of gender-affirming care. âIf I hadnât had that opportunity, I probably wouldnât be here speaking,â Acuna said, recalling the rapid improvement in her mental health after beginning treatment for gender dysphoria.
Now, the Courtâs decision threatens to interrupt or deny similar care to countless youthâmany of whom already face high rates of depression, anxiety, and suicide. Advocates argue that cutting off access will only make things worse. âThis is not about politics. This is about survival,â Acuna said. âThey wonât stop, but we donât have to give in.â
Doctors Condemn the Ruling as Unscientific
Medical experts have slammed the Courtâs opinion as ignorant of science. Dr. Morissa Ladinsky, a pediatrician and professor at Stanford, didnât mince words: âThis decision is not based in science and not based in evidence â itâs based in a political stance to harm kids.â She cited Utahâs own internal study, which concluded thereâs no scientific justification for banning care that is evidence-based, guideline-driven, and already endorsed by all major U.S. medical organizations.
Ladinsky, who previously practiced in Alabama before its own ban took effect, described the extreme lengths families now go to in order to secure care for their kids. One family pawned valuables just to travel out of state. âThese bills havenât made trans kids disappear,â she said. âTheyâve just made their lives harder.â
A Dangerous Precedent with Nationwide Impact
Tennessee Attorney General Jonathan Skrmetti, in a statement dripping with moral panic, praised the ruling, saying the state was âprotecting kids from irreversible decisions.â But LGBTQ advocates and medical professionals argue that refusing care is whatâs truly irreversibleâespecially when it drives teens into deeper despair.
The decision doesnât just affect Tennessee. With similar laws already passed or in progress across the U.S., the ruling paves the way for more states to follow suit. And while some states, like California and Washington, remain sanctuaries for trans care, families shouldnât have to uproot their lives to find compassion.
Once again, itâs trans kids who are caught in the legal crossfire. And once again, itâs queer communitiesâdrag artists, moms, doctors, and organizersâfighting to remind the country that dignity isnât a privilege. Itâs a right.