In a twitter tirade, the US Dept. of Health and Human Services (HHS) cites recent pro-trump capitulations by the ASPS and AMA to launch an attack on four prominent Federally Qualified Health Centers (FHQCs) that continue to provide health-saving (often life-saving) medical care to TGD adolescents.

"in America...There are people who want to be in power. And while you say they don’t exist here, I would say I’m quite certain there are people in America who would willingly climb over the corpses of half the American public if they knew they could gain control of the other half." Nuremberg (2025)

Hugs and kudos to the Good Law Project for revealing a truth that TGD communities have long known from lived and clinical experience: that access to affirming endocrine (including pubertal deferral) care saves adolescent TGD lives. These figures likely represent just the tip of the iceberg.

Dear AMA president, Dr. Bobby Mukkamala---Where is the AMA demand for "clear," [double-blind RCT] "medical evidence," when cis-privileged-Mitsy demands BA and a nose job for her 16th birthday or cis-privileged-Biff is bullied into dropping out of high school because of untreated gynecomastia?

If you watch just one video today--this, by my friend, Julia Serano. Should Democrats sacrifice the human rights, health care, and very survival of Trans and Gender Diverse people in a deluded attempt to appease the hate and cruelty of totalitarian trumpism? (I paraphrased, just a little)

When A Trans Teen Spoke Out About Epstein And No One Listened www.transvitae.com/w... #transgender #trans #LGBTQ #LGBTQIA

Facts matter: Only a year ago, the AMA affirmed the medical necessity of health care, including surgeries, for Trans and Gender Diverse adolescents who need them. This week, AMA leadership reversed this policy under political pressure. There is blood on their hands.

Hypocrisy in the AMA leadership: This 2023 article in the AMA's own **Journal of Ethics** reaffirmed the medical necessity of corrective surgical for TGD adolescents. The AMA policy reversal, released earlier this week, lacks even a fig leaf of scientific justification for the contradiction:

Hate states in the U.S. accelerate their cruelty toward TGD people, as Kansas House Bill 2426 would invalidate all congruent drivers licenses and birth certificates for TGD people and replace them with misgendered documents. kslegislature.gov/.../document...

This is what patriotism looks like. This is what courage sounds like. www.youtube.com/shorts/XGwfe...

Paid social media ads that seek to reenact the infamous faux science behind the 80% "desistance" myth about Transgender and Gender Diverse children and adolescents of the 1990s-2000s.

For the rest of my days, my soul will be haunted by the face of this precious five-year-old child, as he is kidnapped from the driveway of his home and imprisoned in a hellhole concentration camp. This is the depth of depraved evil that my nation has returned to. www.huffpost.com/entry/liam-c...

"Oh our Minneapolis, I hear your voice Crying through the bloody mist We’ll remember the names of those who died On the streets of Minneapolis" --Bruce Springsteen, "Streets of Minneapolis"

"You raise your voice, I erase your voice." This is the nightmare, the totalitarian sh¡thole, that my birth nation has become.

Wishing you hope through these dark and hate-infected times on this Holocaust Remembrance Day, 2026. "In remembering the victims of the Holocaust, we affirm our shared humanity and pledge to defend the dignity and human rights of all." ... www.ungeneva.org/en/meetings-...

More and more Trans and Gender Diverse blood on the hands of the trump regime and those who put it in power, with deadly consequences far beyond the boundaries of the U.S. Their intent for "eradication" of our people is global. ... public-inspection.federalregister.gov/2026-01516.pdf

We’re airing a new campaign ad, starting tomorrow. Here it is:

In these darkest of times, there are still heroes in this nation. Rest in power, Renee Good and Alex Pretti.

Orwell tried to warn us. My country did not listen.

A bone-chilling report in yesterday's Guardian about Trans and Gender Diverse refugees from the U.S. They wait in an overcrowded camp at Ter Apel in the Netherlands, while their claims for asylum face barriers of prejudice. They are facing deportation, back to the deathly fate they had escaped.

Wishing you hope for justice and equality on this 40th Dr. Martin Luther King Jr. Day

The point is, ladies and gentlemen, that woke, for lack of a better word, is good. Woke is right, woke works. Woke clarifies, cuts through and captures the essence of the evolutionary spirit.

Starting the new year with an important paper in the IJTH by Cal Horton. So-called "gender exploration" psychotherapies, for the purpose of denying medically necessary affirming care, are thinly-veiled gender conversion psychotherapies that inflict lasting harm. Please cite widely.

Justice For Renee

Please read and share with your networks: This survey by the Movement Advancement Project (MAP) reveals shocking devastation to LGBTQ+, and especially TGD, lives, resulting from trumpism and state-sponsored hate in the U.S. since November, 2024. www.mapresearch.org/2025-norc-su...

“It’s utterly impossible for me to build my life on a foundation of chaos suffering and death, I see the world being slowly transformed into a wilderness, I hear the approaching thunder that, one day, will destroy us too…" 19440715 Anne Frank

The KGC was the prototype of the KKK. A "golden circle" of tyranny around the Caribbean is not new. For ten years, I have warned that trumpism's treason panders to a core theo-confederate insurrection against the US Constitution that never surrendered and never died. I ain't just whistlin' "dixie."

January 6. Never Forget.

Wishing you hope on this New Year's Day 2026. Here's a little glimpse of what hope looks like:

renaming mar-a-lago "black lives matter, trans rights are human rights, and no human is illegal" and then getting mad when kid rock declines to perform there

The U.K. government continues to challenge U.S. trumpism for the most gratuitous cruelty toward the most vulnerable TGD adolescents. Sophie Molley, of NorthWest Bylines, reports on leaked minutes from a recent meeting, where NHS-England ended lifesaving puberty suppression care at the WellBn Clinic

From land of the beautiful Central California coast that rightfully belongs to the Chumash People, I wish you peace and justice on this National Day of Mourning in the U.S., November 27, 2025.

In global TGD health care this week: a limited randomized controlled trial (RCT) of pubertal suppression endocrine care by the U.K. National Health Service--the very same NHS that recently banned this established life-saving care, based on transmisic disinformation in the 2024 "Cass Report."

A trans teen in Iowa completed suicide after severe bullying by classmates and teachers. "Miles’ death came a day after a substitute teacher refused to use his preferred pronouns." It's the type of bullying @thefireorg.bsky.social and @aricohn.com support. www.thepinknews.com/2025/11/17/m...

Blood on their hands: On November 12, the United States Conference of Catholic Bishops revised their Catholic Health Care directives to prohibit life-saving endocrine and surgical care for Trans and Gender Diverse patients at all Catholic-owned hospitals and health services in the U.S.

Wishing you safety and hope on this International Transgender Day of Remembrance in these dark, dystopic times.

ICYMI

[Updated Nov 19] Posted to my Trans Policy Reform Blog, formatted US and International Non-US reading lists for our International Transgender Day of Remembrance 2025 observances on November 20. 55 US deaths of Transgender and Gender Diverse people by hate-driven violence and suicide are reported.

Thanks and hugs to more than 60,000 cisgender women who signed this U.K. open letter in support of TGD communities. "We reject – completely and categorically – the active discrimination and exclusion of trans, non-binary and gender-diverse people." notinourname.org.uk/petition/not...

Posted to my Trans Policy Reform Blog, formatted US and International Non-US reading lists for our International Transgender Day of Remembrance observances on November 20. Please feel free to download and share. transpolicyreform.wordpress.com/2025/11/15/i...

Today, the Trans Murder Monitoring (TMM) Project at TGEU released their 2024-2025 reporting on global fatal violence against trans people. My heartfelt thanks go out to all who do this important soul-wrenching work every year. tgeu.org/trans-murder...

'Yo tengo papeles.' Trump's ICE/CBP terrorists kidnap beloved teacher Diana Galeano's from her North Chicago preschool in front of traumatized children. Her cries will haunt my nightmares. #abolishice

Senator Schumer, please resign as the Senate Leader of my Democratic Party.

A glimmer of good news from my adopted state of California, as the California Supreme Court upholds the state law that protects TGD residents in nursing homes from misgendering abuse. “'The pronouns provision constitutes a regulation of discriminatory conduct that incidentally affects speech"

What we're up against in the U.S.: "A divided US Supreme Court dealt a fresh blow to transgender rights, temporarily reviving a Trump administration policy that generally requires new passports to reflect the sex on the holder’s birth certificate." news.bloomberglaw.com/us-law-week/...

What leadership looks like

2025, November 4th--a glimmer of hope.

Yes on 50!