Q Toon: Breaking Bad News to the Boss

The Absolutely Corrupt Trump Regime™ was dealt a setback in its persecution campaign against transgender Americans last week. A federal judge in Oregon rejected in no uncertain terms Health & Human Services Secretary Robert Kennedy Jr.'s new policy threatening to block Medicare and Medicaid funding from any hospital that offers gender reassignment therapy to transgender youth who want it.

At least 40 hospital systems across the country had halted gender therapy services after the Department of Health and Human Services issued the "Kennedy Declaration" on December 18, 2025; as a result, even families who had left transgender-hostile red states for transgender-friendly blue ones found that their children were still denied proper care.

“Unserious leaders are unsafe. There is nothing more serious than our leaders’ dedication to the rule of law so that we might maintain the integrity of our constitutional democracy,” [U.S. District Judge Mustafa T.] Kasubhai wrote.

“This case demonstrates how disregard for the rule of law does not merely result in an abstract infraction. Rather, and tragically, this case is one of a long list of examples of how a leader's wanton disregard for the rule of law causes very real harm to very real people.”

Ruling in favor of the 21 states* and the District of Columbia who filed suit against the Kennedy Declaration, Judge Kasubhai found that it exceeded the administration’s authority, violated federal rulemaking requirements, and conflicted with existing law, "effectively banning by fiat an entire category of healthcare."

Judge Kasubhai's 49-page decision rejected as "absurd" the HHS contention that reversing the Kennedy Declaration would deny the Secretary his right to express his views on important public issues. 

"Defendants cannot bully or gaslight this Court into ignoring the many procedural and legal flaws of the Kennedy Declaration by invoking one of the most sacred principles of our constitutional democracy — the freedom of speech — when that principle comes nowhere close to being implicated. Rather, Plaintiffs' claims challenge Kennedy's authority to unilaterally, categorically, and without any process, supersede professional standards of care regarding gender-affirming care that apply in the Plaintiff states."

A higher Court (ahem) might have five or six more charitable opinions of an unserious leader's wanton disregard for the rule of law. But for now, let's enjoy our successes and liberties while we still have them.

_____________

* The 21 states are California, Colorado, Connecticut, Delaware, Hawai'i, Illinois, Maine, Maryland, Massachusetts, Michigan, Minnesota, Nevada, New Jersey, New Mexico, New York, Oregon, Pennsylvania, Rhode Island, Vermont, Washington, and Wisconsin.

 

Q Toon: Kennedy-nial of Care

During Donald Joffrey Trump's first term, I drew a cartoon about his transphobic policies that suggested that he was only pursuing them to satisfy his supporters on the religious right. They are hardly a factor in his second term, so I have to conclude that his persecution of the transgender community is central to his psyche.

Somewhere along the line, there's a girl in his past who turned out to have a little something extra downstairs, and the experience haunts him like Freddy Krueger.

Trump has found a kindred spirit in Robert Felcher Kennedy. The erstwhile environmentalist readily forsook advocacy for renewable energy and fuel efficiency in favor of feels-based health care.

Don't like pills and needles? You're in luck. Newly revised Health & Human Services protocols recommend against vaccines in favor of poultices, whale blubber, and burning some parsley, sage, rosemary and thyme. 

Suffering from gender dysphoria? You're in luck, too. Kennedy and the Republican establishment have declared that it doesn't exist any more. If you're unhappy looking in the mirror, botox, lip injections, and rhinoplasty are all hunky-dory, but everything below the chin has gotta stay just as God made it.

And they have ways of making you get used to it.

The ban takes the form of two new proposed rules from Medicaid and Medicare. The first prohibits doctors and hospitals from receiving federal Medicaid reimbursement for gender-affirming care provided to transgender patients younger than age 18. Medicaid is the health care program that covers low-income Americans.

The second rule blocks all Medicaid and Medicare funding for any services at hospitals that provide pediatric gender-affirming care. Virtually every hospital in the country takes Medicare, which covers older Americans and the disabled. Because hospitals rely on Medicare, the rule would have a wide-ranging effect.

Supporters and opponents of transgender rights agree that, taken together, the forthcoming hospital rules could make access to pediatric gender-affirming care across the country extremely difficult, if not impossible.

Even non-chemical, non-surgical approaches are verboten. The Trump Food & Drug Administration has sent warning letters to companies that manufacture and sell chest binders, used by transgender men and some nonbinary people to flatten their chests. The FDA charges that the companies failed to register their products as Class I medical devices with the FDA, in violation of the Food, Drug, and Cosmetic Act.  “Failure to adequately address this matter may result in regulatory action being initiated by the FDA without further notice. These actions include, but are not limited to, seizure and injunction.”

I don't imagine that the FDA is going to send that same letter to the makers and sellers of girdles and brassieres.

FDA Commissioner Marty Makary claimed that the brands were guilty of “illegal marketing of breast binders for children, for the purposes of treating gender dysphoria.”....

Makary did not cite evidence that any of the brands market their binders to children; Them found no such marketing copy supporting Makary’s claim on the brands’ websites. Conservatives have claimed for years that discussions of gender identity alone are harmful to children, and their rhetoric has escalated over time; during the HHS press conference, Centers for Medicare and Medicaid Services administrator Dr. Mehmet Oz falsely claimed that trans youth regularly receive vaginoplasties and phalloplasties costing up to $150,000; in fact, the vast majority of gender-affirming surgeries performed on minors are breast reduction procedures offered to cisgender boys.

The House has also passed bills this month making it a crime to provide gender-affirming care to transgender minors and prohibiting Medicaid reimbursement for gender-affirming care for youth. Neither bill has much chance of passing the Senate unless tucked into other must-pass legislation ― such as the next temporary government funding bill.

All of which will be worth remembering every time Republicans try to tell you that they are not the party of big, obtrusive, over-regulating government.

P.S.: Merry Christmas, and Happy Miscellaneous Holidays!

Q Toon: Consider This Your Trigger Warning

The 988 National Suicide & Crisis Lifeline of the U.S. Health & Human Services Department is set to stop providing tailored support options for LGBTQ+ youth and young adults on July 17.

The general 988 Lifeline offers free mental health support via call, text, or chat. It is funded by the Substance Abuse and Mental Health Services Administration (SAMHSA), a subsidiary of the US Health and Human Services Agency (HHS). 

Currently, LGBTQ young people can select option 3 from a call menu in order to connect with counsellors. After the changes, the remaining 988 Lifeline services would "focus on serving all help seekers", including those who previously chose to access LGBTQ youth services, SAMHSA said.

But the hotline would "no longer silo LGB+ youth services," SAMHSA wrote in a statement, omitting the "T" and "Q" that refers to transgender and queer people in the LGBTQ acronym.

Given the Trump-DOGE regime's emphasis not on devotion to the mission of one's agency, on expertise, and on competence — but rather on fealty to Generalissimo Trump and a fierce commitment to banishing "wokeness" in all its forms — LGB+ youth cannot expect a sympathetic ear or helpful advice from whatever de-silofied government employees remain at the other end of the phone.

I have to suspect that T and Q youth are guaranteed not to.

If you don't believe me, believe Rachel Cauley, a spokesperson for the White House Office of Management and Budget, who described the present LGBTQ+ lifeline to NBC News as "a chat service where children are encouraged to embrace radical gender ideology by 'counselors' without consent or knowledge of their parents."

I don't have any scientific studies to back this up, but I'll bet there is a significant subset of LGBTQ+ youth considering suicide for whom one or both parents are at least as LGBTQ-hostile as Ms. Cauley is.

Here are ways to reach privately funded LGBTQ youth suicide prevention hotlines:

• Trevor Project LGBTQ Crisis Hotline: 1-866-488-7386 or text START to 678-678
• Trans Lifeline (run for and by trans people): 1-877-565-8860 Monday-Friday, 8:00 am to 4:00 pm Central Time

Please note that reports of Canada making its hotline available to U.S. citizens are false.

Q Toon: Now You See It

Shortly after I posted this cartoon to Q Syndicate, news of the Supreme Court's 6-3 decision that legal protections for LGBTQ employees are constitutional. Their rather surprising ruling, written by Trump appointee Neil Gorsuch and joined by Chief Justice John Roberts, has overshadowed the Trump administration's having finalized rules eliminating nondiscrimination protections for LGBTQ persons in health care and health insurance.

"HHS respects the dignity of every human being, and as we have shown in our response to the pandemic, we vigorously protect and enforce the civil rights of all to the fullest extent permitted by our laws as passed by Congress," said Roger Severino, who directs the Office for Civil Rights in the Department of Health and Human Services, in a written statement announcing that the HHS rule had become final. The rule is set to go into effect by mid-August.
It is one of many rules and regulations put forward by the Trump administration that defines "sex discrimination" as only applying when someone faces discrimination for being female or male, and does not protect people from discrimination on the basis of sexual orientation or gender identity.

Section 1557 of the Affordable Care Act ("Obamacare"), prohibits discrimination in health coverage and care. It bans discrimination on the basis of race, color, national origin, sex, age, and disability in health programs and activities that receive federal funding. That these protections include transgender persons is supported by a rule adopted by HHS in 2016 and by most lower courts.

The Corrupt Trump Administration's repeal of the 2016 rule has been a long time coming, however; this is the fourth cartoon I've drawn in as many years about Severino and his determination to allow discrimination against LGBTQ patients and insurance consumers. "We're going back to the plain meaning of those terms, which is based on biological sex," Severino said in 2017, adding that the rule could save hospitals and insurers and others $2.9 billion over five years since they will be relieved of the requirement to print notices of nondiscrimination in several languages.

Under the new rule, a transgender person could, for example, be refused care for a checkup at a doctor's office, said Lindsey Dawson, associate director of HIV policy at the Kaiser Family Foundation. Other possible scenarios include a transgender man being denied treatment for ovarian cancer, or a hysterectomy not being covered by an insurer — or costing more when the procedure is related to someone's gender transition.

Whether this week's court decision will have any impact on Mr. Severino's new rules will depend on having another lawsuit work its way up to the Supremes. The National Center for Transgender Equality is putting on a brave front, but anything can happen. This week's cases turned on Title VII of the Civil Rights Act of 1964, which deals expressly with employment issues and specifically includes protections against sex discrimination. Health care falls under Title VI of the Act, which does not mention sex discrimination.

Will that be enough for Justices Thomas, Alito and Kavanaugh to lasso Roberts and Gorsuch back to the right-wing corral? It is not as if any of them have a great deal of sympathy for Obamacare to begin with.

Q Toon: His True Colors

The Trump administration is expected to rescind Obama-era Health and Human Services department rules that have protected LGBTQ+ patients from discrimination in health care.

Due to a death in my family, I haven't been paying much attention to the news this week. Maybe those new pro-discrimination rules have come out, or they're waiting until Friday afternoon, or they still have to make sure they've included everybody the religious right wants on their shit list.

But with their moves to trash the environment, subsidize fossil fuels, wink and nod at corporate corruption, sanctify the Christian Reich, and build that damned ugly wall, the Trumpsters are definitely switching into high gear as if they know that time is running out.