Q Toon: Closing Time

The Party of Small Government is in charge in Idaho, where the statehouse passed a bill in March to criminalize medical care for transgender youth.

It is only one of over a dozen anti-transgender bills authored by Republicans this year:

In each of these states, the bills would either criminalize health care providers who provide gender-affirming care to minors or subject them to discipline from state licensing boards. Bills in ten states would also allow individuals to file civil suits for damages against medical providers who violate these laws. Bills in six states provide penalties for parents who facilitate minors’ access to gender-affirming medical care.

About half of these bills would further limit access to gender-affirming care for transgender youth by barring certain insurance providers from offering coverage for gender-affirming care, by placing restrictions on the use of state funds or state facilities to provide this care, or by excluding gender-affirming care as a tax-deductible health care expense. Bills in seven states would prohibit certain health insurance plans from offering coverage for gender-affirming care. In eight states, bills would prohibit the use of state funds for gender-affirming care or more broadly prohibit distribution of state funds to any organization or individual that provides gender-affirming care to minors, seemingly regardless of what the funding is used for. In five states, bills would prohibit gender-affirming care by or in government-owned or operated facilities, and by individual providers employed by government entities. In four states, bills would exclude gender-affirming care as a tax-deductible health care expense.

Finally, a bill proposed in Missouri would attempt to limit access to gender-affirming care by classifying it as child abuse similar to the order recently issued in Texas.

Republicans are simultaneously charging full speed ahead with their assault on reproductive rights. 22 states are set to criminalize abortion providers and/or patients, often with no exception for rape, incest, or any consideration of the health of the mother.

An Alabama OB-GYN writing in Slate last week warned that her experience, seeing doctors refuse to treat women suffering a miscarriage for fear of being charged with a crime, will go nationwide as soon as Samuel Alito's draft ruling becomes the Law Of The Land.

...I saw a patient in active miscarriage (bleeding, passing clots, cramping) who had just had an office visit with her primary physician. She was forced to wait more than 48 hours in order to get the results of her bloodwork. Doctors will sometimes check a patient’s levels of HCG, or human chorionic gonadotropin, to help distinguish miscarriages from ongoing pregnancies or ectopic pregnancies. I could not understand why someone with all of the clinical signs of a miscarriage in progress was required to wait for much-needed intervention, all the while bleeding and cramping and suffering.

I was angry that the patient’s doctor did not just provide the standard medical treatment for a miscarriage: surgically removing the contents of her uterus, which would stop her pain and bleeding. Then I saw a different patient who was actively miscarrying, and a light bulb clicked on: The doctors were afraid of being attacked by the state of Alabama.

Suffice it to say that Red State women who can afford plane fare to Illinois or Ireland, or perhaps a zealous malpractice attorney, won't be faced with this grim scenario. But for the woman barely making ends within shouting distance of each other at a minimum wage job, or the girl still living under the roof of her rapist... well, we know which lives matter to the GOP, and it isn't yours.