President Donald Trump, having campaigned heavily on anti-trans fear mongering, issued an executive order within days of taking office that banned federal support for gender-affirming care. That same order commanded the secretary of Health and Human Services to produce a report on “best practices” for the care of trans youth.

When the report was released in May, exactly zero people were surprised that its conclusions echoed the executive order’s anti-trans stance—condemning gender-affirming care and instead recommending “exploratory” therapy—and were grounded in ideology, not science or medical expertise.

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