With less than 48 hours remaining in office, outgoing Mayor Eric Adams rolled out a plan to distribute $2 million in what the city is describing as “emergency funding” to 20 organizations serving transgender, gender non-conforming, and non-binary individuals in a bid to counteract federal budget cuts.
The Department of Health and Mental Hygiene will administer the funding across organizations delivering the most pressing community services, including in the areas of health and wellness, legal advocacy, youth and family support, safety and crisis response, community building, and economic empowerment, according to the mayor’s office.
Organizations are eligible to receive up to $92,000, which can be used for staff, travel, supplies, and services — so long as most of the clients are transgender, gender non-conforming, or non-binary.
Organizations seeking to apply for the grant must fill out an application by Monday, Jan. 5 at 5 p.m.
CitizensNYC, a non-profit which helps cut through red tape and act as an intermediary between the city and applicants to disburse city funding to various organizations in a timely manner, is partnering with the city to help facilitate the funding, though the city will ultimately determine which organizations receive it.
The funding follows a tumultuous year during which the Trump administration repeatedly moved to slash funding for LGBTQ community services in New York City and elsewhere.
After President Donald Trump issued several executive orders early this year targeting funding for LGBTQ organizations and other groups, federal agencies warned non-profits that their budgets could be slashed if they served transgender individuals or conducted what officials described as “equity-related” work. Lambda Legal, which led a lawsuit against the Trump administration in February, later won a court order restoring $6 million in funding for nine nonprofits serving LGBTQ people and individuals living with HIV.
In September, the Trump administration announced it was cancelling around $36 million in funding for the city as punishment for its policies protecting transgender individuals — a move that prompted the city to sue the Trump administration.
Most recently, the Trump administration issued multiple proposed rules that would require healthcare providers participating in Medicare and Medicaid programs to stop providing gender-affirming care for youth.
“We saw a need after federal budget cuts, and we are responding to it,” First Deputy Mayor Randy Mastro said in a written statement. “There are essential services at stake for this community. Therefore, it was an imperative for us to take action and fill that need.”
In a written statement, Adams said the city is “putting our money where our values are and stepping up to serve those who need our care.”
Dr. Michelle Morse, the acting city health commissioner, said the federal government’s attacks on trans and gender non-conforming individuals are “unconscionable.”
“Supporting New York’s community organizations that provide lifesaving services and are eligible for the emergency funds is a key part of the Health Department’s commitment to supporting the health and well-being of all New Yorkers,” Morse explained.
The mayor’s announcement comes roughly three months after Adams sparked widespread criticism when he attacked trans-inclusive bathroom policies in a series of comments. At the time, Adams said he opposed what he described as “girls and boys using the same restroom,” saying he would evaluate his “authority” to change laws on that issue, but ultimately conceded he lacked the power to do so.
Texas’ virulently anti-trans attorney general, Ken Paxton (R), has launched a tip line that allows people to report on suspected trans people they believe are violating the state’s new bathroom ban.
In a statement announcing the tip line, Paxton said the Texas Women’s Privacy Act – which requires people in public buildings to use bathrooms based on sex assigned at birth – “was passed to ensure that women and girls in Texas are protected from mentally ill men wanting to violate their basic right to privacy.”
“It’s absolute insanity that action like this is even needed,” he claimed, “but unfortunately, in the day and age of radical leftism, it is.”
In reality, research has shown no evidence that allowing trans women access to single-sex spaces like bathrooms poses a safety risk to cisgender women.
In fact, forcing trans people to use facilities that do not align with their gender identity can result in “high rates of harassment and violence against transgender people as well as cisgender people, particularly women who do not conform to traditional ideas of femininity,” according to the Movement Advancement Project. A 2021 study from UCLA’s Williams Institute found that trans people are four times more likely than cis people to be victims of violent crime.
Nevertheless, the enactment of the legislation marks the culmination of a 10-year effort by Texas Republicans. The law does not allow an individual to be punished or fined by the state; rather, it fines the institution that allowed the infraction $25,000, plus an additional $125,000 per day for additional violations.
The law also requires the attorney general’s office to investigate complaints, but first, complaints must be filed with the accused agency. “Together, we will uproot and bring justice to any state agency or political subdivision that opens the door for men to violate women’s privacy, dignity, and safety,” Paxton said.
Paxton’s tip line requires folks to submit the original complaint that was filed with the accused agency in addition to filling out the online form and providing “evidence” that a trans person used the restroom. Perhaps most concerning, it also includes an option to submit up to five photos, even though taking pictures in restrooms is illegal.
Brian Klosterboer, senior staff attorney for the American Civil Liberties Union of Texas, said the tip line “wrongly encourages Texans to violate each other’s privacy in bathrooms.”
“The Attorney General has tried for years to vilify and dehumanize transgender Texans,” Klosterboer said, “but he can’t strip away every person’s right to privacy and right to live our lives free from gender stereotyping.”
Critics of the law have worried that it will spark violent over-policing by the institutions at risk of these massive fines. This policing will affect both trans and cis people who don’t fit strict gender norms.
The law has already been used in ways that lawmakers may not have intended. Students at the University of Texas San Antonio (UTSA), for example, are being forced out of their current dorm rooms and made to relocate because of the ban.
At UTSA, mixed-gender dorms include pairs of rooms separated by a shared bathroom; often, those rooms are occupied by people of different genders. Any students sharing a bathroom between their rooms with someone of a different sex assigned at birth are being forcibly rehoused to comply with the new law.
On December 6, transgender protestors with a group called the 6W Project visited the Texas Capitol and attempted to use the restrooms that aligned with their gender identities to make a point about the lack of enforcement mechanisms in the law.
At first, they easily entered the bathrooms of their choice, then proceeded to give speeches in the Capitol Rotunda, The Texas Tribune reported. But when they attempted to use the restrooms a second time, officers stopped them and asked to see their IDs.
Officers claimed in a statement that the ID requests were voluntary, though those who did not show their IDs were barred from entering the bathroom. The officers did allow two trans women with female markers on their IDs to enter the women’s restrooms. Officers also reportedly only guarded the women’s restroom and not the men’s.
“I think that the Texas government just established that they have no consistent enforceable standards for this law,” protester Matilda Miller told the Texas Tribune.
“What we did was not radical, it was not profound,” added 6W Project co-founder Ry Vazquez. “People use the restroom every day in a public setting, and for it to become what it is now, where it is now an active threat to someone who is not prepared, is utterly abysmal.”
The state of Texas has continued collecting information on transgender drivers seeking to change the sex listed on their licenses, creating a list of more than 100 people in one year.
According to internal documents The Texas Newsroom obtained through records requests, the Texas Department of Public Safety has amassed a list of 110 people who tried to update their gender between August 2024 and August 2025. Employees with driver’s license offices across the state, from El Paso to Paris to Plano, reported the names and license numbers of these people to a special agency email account. Identifying information was redacted from the records released to The Texas Newsroom.
The data was collected after Texas stopped allowing drivers to update the gender on their licenses unless it was to fix a clerical error. It is unclear what the state is doing with this information.
An agency spokesperson did not respond to questions about why the list was created and whether it was shared with any other agencies or state officials. The Texas Newsroom filed records requests in an attempt to find the answers but did not receive any additional information that sheds light on what the state may be doing with these names.
In recent years, GOP lawmakers have passed multiple laws restricting the rights of transgender Texans, including two new measures that went into effect this year.
One defines “male” and “female” on state documents as being based on a person’s reproductive system. The other, known as the “bathroom bill,” bars governments from allowing people to use a restroom at public buildings, parks or libraries that do not match their sex at birth.
While it’s unclear how the state plans to enforce the bathroom bill, transgender activist Ry Vazquez told KUT News she was asked to show her ID before using a restroom in the state Capitol earlier this month. Vazquez said she and three other people were then cited with criminal trespassing and banned from the building for a year.
Landon Richie, the policy coordinator with the Transgender Education Network of Texas, is concerned that the list the state is keeping will be used to pass more state laws targeting the rights of transgender Texans.
“The state collecting this information raises a lot of red flags, not just in terms of people’s privacy and ability to exist not under a magnifying glass,” he said. He added that he wonders “how this information will be leveraged in terms of drafting and crafting additional legislation” to chip away at the civil rights and freedoms of transgender Texans.
For years, transgender people in Texas could update their state IDs to match their gender identity by obtaining a court order and then submitting this document to the state agencies that issue driver’s licenses and birth certificates. After the state restricted updates to driver’s licenses last fall, the state’s health agency followed suit, blocking changes to birth certificates other than to correct hospital errors or omissions.
In March, The Texas Newsroom reported that the state was collecting information on people who continued to ask for these changes despite the policy shift.
The attorney general, whose office determines what records are public, allowed the agency to keep other documents about the policy shift secret. But it did release a list of the four employees with access to the special email account.
The Texas Newsroom also obtained records that show the agency investigated threats against the driver’s license division chief after news of the policy change was made public. But no case was referred to the Travis County Attorney’s Office for prosecution.
The Texas Newsroom has requested an updated version of the list.
A county government in central North Carolina has dissolved its entire public library board after trustees voted to keep a children’s picture book about a transgender character on library shelves, turning a local book challenge into one of the most severe reprisals yet in the national campaign against LGBTQ-inclusive materials.
The Randolph County Board of Commissioners voted 3–2 last week to dismiss all members of the county library board, weeks after trustees declined to move or remove Call Me Max, a picture book about a transgender boy who asks his teacher to use his chosen name. The decision followed a public hearing that drew nearly 200 residents and revealed a community split almost evenly between those calling for the board’s removal and those urging commissioners to respect the library’s review process.
Library staff and trustees had reviewed the complaint earlier this fall and, in October, voted to keep the book in the children’s section, concluding it complied with the county’s collection policies, local CBS affiliate WFMY reported. Commissioners nonetheless moved to dissolve the nine-member board outright — a step allowed under North Carolina law but rarely taken.
Free-expression advocates said the action represents a dramatic escalation in the political response to book challenges. Kasey Meehan, director of the Freedom to Read program at PEN America, told The Washington Post that Randolph County’s decision is among the harshest penalties she has seen imposed over a single title.
“It’s a pretty dramatic response to wanting to have diverse and inclusive books on shelves,” Meehan said.
Opponents of the book claimed the dispute was a matter of child protection. Tami Fitzgerald, executive director of the conservative North Carolina Values Coalition, which urged supporters to attend the commission meeting, argued that Call Me Max teaches children that their parents may be “wrong” about their gender.
The book has been banned by several school districts and was prominently invoked by RepublicanFlorida Gov. Ron DeSantis in 2022 while promoting his so-called “don’t say gay” legislation restricting classroom discussions of gender identity, a law later challenged in court.
To critics, the Randolph County episode demonstrates how procedural safeguards are increasingly overridden when LGBTQ+ inclusion is at stake. Kyle Lukoff, the book’s author, who is a trans man, said the case is especially troubling because the library followed its own policies and was still punished.
“Policies can be helpful, but this is ultimately a question of power,” Lukoff told The Post. “If there are people in power who believe trans people don’t belong in their communities or the world at large, they will twist those policies to make it a reality.”
Randolph County, home to about 150,000 people, voted nearly four to one for President Donald Trump. Commissioners have not announced when or how they plan to reconstitute the library board.
The Colorado High School Activities Association (CHSAA) has settled a lawsuit brought by right-wing school districts for the right for schools to bar trans students from joining sports teams that align with their gender. The lawsuit targeted multiple defendants and will continue with the remaining ones without CHSAA’s involvement.
“Eligibility decisions have always been left to individual schools and districts, which is why being named in this lawsuit was both frustrating and unnecessary,” a CHSAA spokesperson said in a statement. She went on to call the organization’s inclusion in the lawsuit “much more performative than substantive.”
The lawsuit was brought by several school districts but was led by District 49. That district’s board passed a controversial trans sports ban back in May by a narrow margin. The lawsuit against the state was filed the day after the policy was voted in, calling for Colorado to allow the ban to be enacted and to align policies with the demands laid out in the president’s “two sexes” executive order.
Colorado has state laws prohibiting discrimination against trans people, specifically people’s gender identity or gender expression. While the lawsuit cites the Equal Protection Clause of the Fourteenth Amendment in arguing that trans girls playing on the girls’ team affects the rights of cis girls, it does not mention the impact on the rights of trans girls.
To settle their part of the lawsuit, CHSAA agreed not to sanction the districts and schools named in the lawsuit for banning trans students from sports teams. It will also not respond to statements the schools make about “advantages of biological males over biological females in competitive sports” or potential propaganda about the hazards of “allowing biological males to play contact sports with or against biological females.” There will also be no penalties from CHSAA for forfeiting against a team because they allow trans children to play.
CSHAA has said that it will still sanction the schools and districts if any of those statements are demeaning in nature or call for violence against trans people. The organization is also recouping $60,000 in legal and operational fees.
While some Colorado school districts specifically allow trans students to play sports under their correct gender identity, others have no concrete rules about it. CSHAA has never stepped in over a trans person being allowed to play school sports, or not being able to.
The lawsuit will continue with the Colorado Attorney General Phil Weiser and other Colorado Civil Rights Division officials as the remaining defendants.
Colorado’s District 49 has around 27,000 students. In May, Board President Lori Thompson noted that, as far as she was aware, the district had only had one instance of a trans student trying to join a sports team that aligned with their gender identity. The student in question was a trans boy, and they did not pass tryouts.
A federal judge has blocked a gender-affirming care ban for trans inmates in Georgia that has been in effect for several months. Judge Victoria Calvert agreed with the plaintiffs that the blanket ban violated the Eighth Amendment, which bars cruel and unusual punishment.
“The Court finds that there is no genuine dispute of fact that gender dysphoria is a serious medical need,” Judge Calvert wrote in her opinion. “Plaintiffs, through their experts, have presented evidence that a blanket ban on hormone therapy constitutes grossly inadequate care for gender dysphoria and risks imminent injury.”
Georgia Senate Bill 185 was signed into law in May by Governor Brian Kemp (R). The bill prohibited state funds and resources from being used to provide gender-affirming care to inmates in Georgia prisons. That included hormone replacement therapy (HRT), as well as “sex reassignment surgeries or any other surgical procedures that are performed for the purpose of altering primary or secondary sexual characteristics,” and even “cosmetic procedures or prosthetics intended to alter the appearance of primary or secondary sexual characteristics.”
The bill took effect in July, and five plaintiffs filed a lawsuit against it in August. In addition to arguing that SB 185 constituted cruel and unusual punishment, the lawsuit also claimed that it violated the Equal Protection Clause. HRT and other gender-affirming care treatments were not banned under the bill for all inmates, only for those who were trans. The bill also prohibited trans inmates from paying for the care themselves while incarcerated.
“We would never allow a state to decide that people in prison with diabetes should be cut off of insulin just because the state didn’t want to pay for it anymore,” said Celine Zhu, a Staff Attorney for the Center for Constitutional Rights, which is representing the plaintiffs. “So why would we allow Georgia to cut off medically required care for people with a similarly serious diagnosis of gender dysphoria?”
SB 185 was a blanket ban that overruled the opinions of judges, doctors, and the Georgia Department of Corrections, all of whom have previously acknowledged that gender-affirming care is medically necessary for incarcerated trans people.
While the judge’s ruling makes it clear that not every inmate is entitled to gender-affirming care, it puts those decisions back in the hands of medical professionals and the patients rather than having the legislature make medical decisions for trans people.
“The Court requires healthcare decisions for prisoners to be made dispassionately, by physicians, based on individual determinations of medical need, and for reasons beyond the fact that the prisoners are prisoners,” the judge said in her ruling.
Current estimates suggest that there are around 300 out trans people incarcerated in Georgia state prisons.
After the ruling, the Department of Corrections filed a notice of appeal with the 11th Circuit Court of Appeals.
This sort of case has been litigated for over twenty years now. In 2005, Wisconsin introduced a ban on doctors providing trans inmates with gender-affirming care, affecting inmates who had been on hormones since the early 90s. The law was overturned by the 7th Circuit Court of Appeals, and the Supreme Court declined to hear the state’s appeal in 2011.
Missouri State Sen. Joe Nicola (R) introduced a bill that would ban “social transition” in schools and forcibly out any transgender and nonbinary students to their potentially unsupportive parents if the students ask a school staff member to address them by a name or gender identity different from the sex assigned to them at birth.
The bill would also allow teachers to be fired and banned from teaching, as well as schools to be sued for affirming trans and nonbinary students’ gender identities, even if a parent approves of their child socially transitioning.
S.B. 1085, one of 21 anti-LGBTQ+ bills recently introduced by Missouri State Republicans, requires school staff members to inform the principal or a designee within 24 hours if any student asks them to “participate in or support” their social transition by having them address them by a name or gender identity that differs from those they were assigned at birth. The principal or designee would then have 72 hours to inform the student’s parents.
The bill would forbid school staffers and counselors from affirming a student’s trans or nonbinary gender identity or teaching about such identities. School districts would also be forced to fire teachers who violate the law and begin proceedings to revoke those teachers’ teaching licenses. Parents and the state attorney general may also pursue a civil lawsuit against any school or school district that violates the law.
The bill has no exception for parents who approve of their child’s social transition. This essentially forces educators to continue misgendering trans students and invalidating their identities even if they personally support trans and nonbinary students. Studies have shown that social transitioning improves the overall health and well-being of trans children.
Trans journalist Erin Reed wrote that the bill “underscores a shift in how anti-trans legislation is being sold to the public.”
“For years, supporters of bathroom bans, sports bans, and ‘don’t say gay’ policies framed their efforts as battles for ‘parental rights.’ Increasingly, though, that language has fallen away as lawmakers move to strip supportive parents of any authority at all, mirroring the approach in medical transition bans that override parental consent entirely.”
Nicola’s bill is just one of numerous anti-LGBTQ+ bills introduced in the state legislature. The other proposed bills would require the state to deny all legal recognition of non-cisgender identities; roll back nondiscrimination protections for transgender people; ban trans students from accessing school facilities or sports teams matching their gender identities; ban schools from displaying Pride flags; and allow anyone working with schools to misgender other employees’ trans/nonbinary gender identities.
The other proposed bills would also forbid state agencies from allowing gender changes on government-issued identity documents; ban trans people from using public facilities matching their gender identities; ban teachers from being a member of any sports organizations that allow trans participation; ban all “obscene” content from schools (including LGBTQ+ educational materials); forbid all gender-affirming care for minors; and designate all drag performances as “adult cabaret” performances (whose viewing by children can be criminally charged).
In April, Nicola voiced support for a state bill that would ban trans and nonbinary people from using “bathrooms, locker rooms, sports facilities, various crisis centers, prisons,” and other sex-segregated spaces that match their gender identity.
When a doctor testified against the bill, noting that such bans negatively affect trans people’s well-being, Nicola replied, “I’m not going to listen to doctors that say one thing that disagrees with a God of creation. You want to kind of berate me a little bit by saying we should listen to what doctors have to say, what your schooling has to say, over what the scripture has to say — it’s not happening with me.”
Nicola may not realize that the Bible has several scriptures that theologians interpret as being supportive of trans people and their identities.
Across the country, LGBTQ+ Americans, people of color, women, religious minorities, and others who feel newly vulnerable under the second Trump administration are quietly constructing “Plan B” escape strategies: securing second residencies, lining up alternate passports, moving assets offshore, scouting communities abroad, or mapping literal escape routes to sanctuary states or neighboring countries.
Some are wealthy enough to buy investment visas in Europe. Others are applying for digital nomad permits that require little more than proof of remote income. Still others are assembling go-bags, stockpiling medication, or rehearsing how they would reach the Canadian border if federal restrictions tightened.
But the phenomenon, a blend of dread, pragmatism, and resignation, is unmistakably rising. None of the people interviewed for this story wants to leave their country. All emphasized that they hope their Plan B remains unused.
They are preparing anyway, because, they say, preparation now feels like survival.
A business built on American anxiety
Eric Major, CEO of the London-based global migration firm Latitude, says his American business has undergone a transformation.
“What used to be a 90 percent, ‘I’m not moving, but I want an insurance policy,’ is now turning into, ‘No, I am moving,’” Major said. “People are saying, ‘I don’t like what I’m hearing or what I’m living or what I’m experiencing.’”
Major, whose company operates across Europe and the Americas, says the shift began in late 2023 and accelerated after Trump’s second inauguration in January, when the administration moved quickly to reinstate the transgendermilitary ban, strip LGBTQ+ recognition from federal websites, and target health care and civil rights protections.
For LGBTQ+ clients, timelines are now one of the first concerns.
The timeline: from 30 days to two years
Major stressed that processing times vary dramatically depending on the country, the type of visa, and how overwhelmed that nation is by American demand.
He says some countries operate at almost lightning speed: Costa Rica, Panama, and other smaller jurisdictions can process residency in as little as 30 to 60 days, depending on background checks and documentation. Malta, too, can process a residency application in approximately three months, making it one of the faster European programs, Major said.
Meanwhile, he noted, countries like Portugal offer popular pathways but now struggle under the sheer volume of applicants. Major said that Portugal’s processing time ranges from six months on the low end to nearly two years on the high end, describing it as a country “victim of its own success.”
Canada, from where Major is originally from, he added, has become similarly stretched; in his experience, no one should expect to receive anything there in under 18 months.
He also emphasized the importance of timing and planning in the application process. Suppose clients know they cannot move until a certain date. In that case, he says the firm essentially reverse-engineers the application, starting preparations early but holding submission to align with a client’s planned departure. Some countries require newly approved residents to arrive almost immediately after approval, he said, which means planning a move is as important as qualifying for one.
‘America is not a safe place in my mind right now’
For “Mark,” not his real name, a gay New Yorker who works as both a physician and a consultant, the ability to pursue multiple residencies is directly tied to his financial circumstances, something he is quick to acknowledge.
He describes himself as “speaking from a very affluent gay perspective,” noting that he has the freedom to work remotely, the savings to invest abroad, and the professional flexibility to relocate. “I have the ability to do such things,” he said. “For me, it was a very no-brainer decision.”
He said the speed at which he could leave mattered as much as the destination.
“When Trump was in office first, I saw the writing on the wall,” Mark told The Advocate in an interview. “I decided one needed an escape mechanism from the United States.”
Mark obtained residency in Portugal, formed a company to gain residency in Panama, and secured status in a Caribbean country. These routes required financial resources, but he stressed that even many of his patients, including those with modest means, are pursuing lower-cost options such as digital nomad visas or temporary residency permits.
Mark said that a significant portion of his own patient population is preparing similar contingency plans. “At least 40 percent of my patients, and 100 percent of my gay patients, all have other residencies now.”
He pointed to Spain’s digital nomad visa, noting that one only needs to show roughly $3,000 in monthly income to qualify. In that program, he said, people can obtain residency and health care after a few years, then become eligible for citizenship after that.
The process brought him a profound sense of security.
“America is not a safe place in my mind right now,” he said. “I’m not going to allow my rights to be taken away from me by some insane lunatic.”
For trans Americans, the calculus is existential
For transgender Americans, the stakes feel even sharper.
Robert, a transgender man in his 60s living in a blue coastal state, began planning immediately after Trump’s inauguration, when the administration reimposed the transgender military ban and targeted trans people’s access to accurate passports and federal recognition.
“I thought we were headed down an authoritarian path — maybe even fascist,” Robert said. “The probability wasn’t zero.”
He initially researched so-called golden passports in the Caribbean, but quickly realized two issues: several of the countries selling them were not LGBTQ+ friendly, and the programs often required investments of $200,000 to $300,000 without guaranteeing a safe environment.
He instead turned to residency programs in Europe and selected Malta, which he identified as one of the most LGBTQ-protective countries in the world. Robert is now deep into the process: he has submitted all documentation, paid the first government fee, and is awaiting final approval before traveling for a required biometric appointment.
But immigration paperwork is only part of his Plan B. Robert has also stockpiled testosterone, a controlled substance, in case access becomes restricted. He has consulted attorneys to secure his real estate holdings, mapped out strategies for exiting the country if his passport is invalidated, and established protocols with his financial institution so that, with a single trigger phrase, his liquid assets can be moved or protected. He said the financial professionals he spoke to did not consider him paranoid; instead, they viewed these preparations as reasonable under the circumstances.
He also acknowledged that his preparation is not something every trans person can do. “My situation is privileged and unique,” he said. “The only thing I tell other trans folks is to at least make a Plan B, even if it’s just knowing how to get to a sanctuary state or across the border.”
For Robert, the red line that would prompt immediate departure is if the government starts signaling that transgender people’s passports could be restricted or invalidated. He said that any move toward requiring trans people to carry identifying markers or any early signs of authoritarian control would also trigger his exit. “Anything akin to the initial steps taken by a fascist regime,” he said.
A new American story
Beyond the logistics and financial planning, the emotional weight of this new reality is heavy.
“People don’t think of what their choices do to people like me,” Robert said. “There’s this level of apathy.”
Mark expressed a similar warning. “Don’t be too late,” he said. “When they start taking passports away and closing borders, it’s too late.”
Major sees this shift reflected in nearly every conversation he has with American clients today. While the process begins with lifestyle questions, financial disclosures, and paperwork, he says the deeper shift is psychological. “Americans are asking: If it gets really bad, where do I go?”
Everyone interviewed emphasized the same hope: that they will never need to use their Plan B.
But preparation itself has become a form of survival.
“I feel it’s a good feeling to be prepared,” Robert said. “I hope I never have to use it. But I’m not willing to gamble my future.”
Mark echoed him, reflecting on how drastically the national mood has shifted. “People usually moved to the United States for better lives. Now people are leaving the United States for better lives.”
A far-right party in New Zealand that is hostile to trans rights preempted a government announcement on Wednesday that the country will indefinitely ban the use of puberty blockers by trans youth.
The New Zealand First party, a minority member of Parliament’s coalition government, made the announcement three hours ahead of the government’s own health ministry, declaring a victory in its “war on woke,” Erin in the Morning reports.
“Today, sanity won another battle in the war on woke,” the surprise announcement read. “After years of dangerous ideological experimentation pushed by radical activists and rubber-stamped by weak politicians, the New Zealand Government has officially banned puberty blockers for children. This is what happens when you back a party that actually delivers.”
“While other parties can’t even define what a woman is, we’ve stood up for families, for truth, and for children.”
The preemptive declaration was one more indication of the politicization of healthcare for trans youth in New Zealand and around the world, and a clue to the party’s intimate involvement in crafting the government’s policy. The change adds New Zealand to a growing list of countries and U.S. states banning gender-affirming care for trans youth.
The government’s own announcement described the decision as “a precautionary approach” to gender-affirming care for transgender youth.
There is a lack of “high-quality evidence that demonstrates the benefits or risks” of puberty-blocking drugs for trans youth, Health Minister Simeon Brown said.
113 patients in New Zealand were using puberty blockers in 2023, according to the health ministry.
While the policy announcement didn’t mention the widely criticized Cass Report, the controversial document claiming a lack of evidence supporting gender-affirming care for young people that was released in the UK last year, it’s the basis of the UK’s own indefinite ban on puberty blockers, which New Zealand is following.
Both countries say they’ll wait for the results of a UK government-sponsored clinical trial on the efficacy of puberty blockers for trans youth before making a final determination on their use. The prohibition won’t affect trans kids currently taking the drugs.
“By pinning the resumption of prescribing to a UK trial result expected in 2031, the Government has effectively sacrificed a generation of trans youth,” said New Zealand civil rights organization Rights Aotearoa. “They are demanding a level of evidence for trans healthcare that they do not demand for hundreds of other treatments routinely used in pediatrics.”
Both bans make an exception for children experiencing early-onset puberty and other conditions, raising equal protection questions.
“This will undoubtedly end up in court – very quickly as the subject of a Judicial Review,” Rights Aotearoa’s Paul Thistoll posted after news of the decision. He called it a “blatant violation” of New Zealand’s Human Rights Act.
Transgender youth in Pennsylvania and their families are celebrating a significant legal victory. A federal court in Philadelphia has rebuffed the Department of Justice’s sweeping attempt to obtain highly personal medical records from the Children’s Hospital of Philadelphia about children receiving gender-affirming care.
On Friday, federal district Judge Mark A. Kearney in the Eastern District of Pennsylvania issued an order quashing DOJ subpoena demands for names, dates of birth, Social Security numbers, home addresses, and clinical notes covering minors treated since January 2020. The court found the government “lacks statutory authority for a rambling exploration of the Hospital’s files to learn the names and medical treatment of children.”
Families in Pennsylvania had filed separate motions to quash subpoenas issued by the Trump administration in July that alleged fraud in gender-affirming care. As The Advocatereported, the subpoenas demanded exhaustive data on minors, including “intake forms, consent paperwork, and parental authorizations for puberty blockers and hormone therapy.”
Kearney’s decision reaffirms that the records in question concern lawful medical treatment governed under Pennsylvania law, and that children’s and families’ constitutional privacy interests “far outweigh” the government’s asserted investigative needs. The ruling also criticizes the DOJ’s shifting justifications, noting that at one point the government “replaced” and reminding that “false statements may be subject to a perjury investigation.”
The ruling arrives amid a broader national crackdown on gender-affirming care by the Trump administration, which in July announced more than 20 subpoenas to clinics and hospitals across multiple states. The American Medical Association and other major professional organizations had already pushed back, affirming such treatments as evidence-based and lifesaving.
For advocates and legal counsel representing the children, the decision is a vindication of long-held concerns about governmental overreach. “This is a critical win for everyone who believes healthcare decisions should be made in doctors’ offices, not the White House,” Mimi McKenzie of the Public Interest Law Center said in a press release. Attorney Jill Steinberg of the law firm Ballard Spahr added that the decision signals to transgender youth and their families that they “do not have to fight these battles alone.”
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