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Denying access to gender-affirming care, as the Trump administration aims to do, increases the risk that a person will experience depression, anxiety and suicidal ideation.

Kim Reynolds, the governor of Iowa, recently signed a bill stripping trans men and women of civil rights and employment protections, Indiana has enacted harsh restrictions against gender-affirming care, and in deeper red states such as Texas, there is a large scale agenda to “restrict trans lives,” in the words of a Texas Tribune headline.

He authored the state House's version of a bill to ban gender-affirming care for minors in the state.

Judge King is also probably the first in the judiciary to raise and consider the possibility that regret might operate precisely the opposite way the government claims, emerging not due to treating gender dysphoria but rather as a result of delaying or forgoing necessary gender-affirming care.

King forcefully refutes the federal government’s arguments in a way that also directly undermines whatever red states are currently arguing in their attempts to justify state laws prohibiting gender-affirming care in courts nationwide, including the Supreme Court.