watching the paradigm shift…
@bespoke-beauty.bsky.social
What makes you so sure none of this gets passed by Congress? They’ll be able to get the Medicaid bill through as an attachment on FY26 federal spending bill and via budget reconciliation. This is effectively the end of Obamacare/ACA coverage for gender related care.
January 2, 2026 at 2:32 AM
What makes you so sure none of this gets passed by Congress? They’ll be able to get the Medicaid bill through as an attachment on FY26 federal spending bill and via budget reconciliation. This is effectively the end of Obamacare/ACA coverage for gender related care.
Hardly. You’re memory-holing events.
December 30, 2025 at 6:21 PM
Hardly. You’re memory-holing events.
Yes, they want normalcy, not revolution.
When trans advocates start incorporating this empirical evidence into their strategies, they will have less disappointment and unmet expectations.
(see: transexualism approach with gatekeeping, vs transgenderism with self ID and gender revolutionaries).
When trans advocates start incorporating this empirical evidence into their strategies, they will have less disappointment and unmet expectations.
(see: transexualism approach with gatekeeping, vs transgenderism with self ID and gender revolutionaries).
December 29, 2025 at 7:32 PM
Yes, they want normalcy, not revolution.
When trans advocates start incorporating this empirical evidence into their strategies, they will have less disappointment and unmet expectations.
(see: transexualism approach with gatekeeping, vs transgenderism with self ID and gender revolutionaries).
When trans advocates start incorporating this empirical evidence into their strategies, they will have less disappointment and unmet expectations.
(see: transexualism approach with gatekeeping, vs transgenderism with self ID and gender revolutionaries).
It becomes policy, not law. Next administration can reverse the policy, but the damage is done.
December 27, 2025 at 5:17 PM
It becomes policy, not law. Next administration can reverse the policy, but the damage is done.
There’s going to be a lot of new terminology the upcoming few years.
December 27, 2025 at 5:16 PM
There’s going to be a lot of new terminology the upcoming few years.
There’s going to be a *lot* more terminology changes in the upcoming years.
For the generation that came of age under WPATH, this will feel like the rug getting pulled out from under one’s feet. But it happens every 15 or 20 years. The community isn’t ready for DSM-VI or WPATH9.
For the generation that came of age under WPATH, this will feel like the rug getting pulled out from under one’s feet. But it happens every 15 or 20 years. The community isn’t ready for DSM-VI or WPATH9.
December 24, 2025 at 3:57 PM
There’s going to be a *lot* more terminology changes in the upcoming years.
For the generation that came of age under WPATH, this will feel like the rug getting pulled out from under one’s feet. But it happens every 15 or 20 years. The community isn’t ready for DSM-VI or WPATH9.
For the generation that came of age under WPATH, this will feel like the rug getting pulled out from under one’s feet. But it happens every 15 or 20 years. The community isn’t ready for DSM-VI or WPATH9.
Trans community got it in its head that trans kids were ‘ours’, and it was appropriate to outreach to other people’s children. DQSH, queer sex-ed in schools, suicide hotlines across state lines, pediatric medicine referrals. Fatal error that the community will pay for for decades.
December 20, 2025 at 8:05 PM
Trans community got it in its head that trans kids were ‘ours’, and it was appropriate to outreach to other people’s children. DQSH, queer sex-ed in schools, suicide hotlines across state lines, pediatric medicine referrals. Fatal error that the community will pay for for decades.
One persons fascism is another persons movement to protect their children. You’re not wrong. But I would suggest learning to anticipate what other people are willing to full-on fascist about.
December 20, 2025 at 8:04 PM
One persons fascism is another persons movement to protect their children. You’re not wrong. But I would suggest learning to anticipate what other people are willing to full-on fascist about.
But hey, they cancelled the transmedicalists as TruScum a decade ago, because we advocated safeguards and it was too much gatekeeping. The transgenderists got their time in the sun driving the community bus, and promptly drove it off a cliff and now the police are investigating. So here we are.
December 20, 2025 at 6:25 PM
But hey, they cancelled the transmedicalists as TruScum a decade ago, because we advocated safeguards and it was too much gatekeeping. The transgenderists got their time in the sun driving the community bus, and promptly drove it off a cliff and now the police are investigating. So here we are.
Yes, fascists are setting boundaries. And the community will have a difficult few years adjusting to it. And the people who have been transgressing boundaries will be precisely the most to loose and most resistant to acknowledging any wrongdoing.
December 20, 2025 at 6:25 PM
Yes, fascists are setting boundaries. And the community will have a difficult few years adjusting to it. And the people who have been transgressing boundaries will be precisely the most to loose and most resistant to acknowledging any wrongdoing.
Anybody who sets any rules or boundaries will be seen as fascists. So it’s become something of an empty accusation. Want trains to run on time? Fascists and ableist for making people be on time. FDA quality control on food and drugs? Fascists against DIY cooks.
December 20, 2025 at 6:25 PM
Anybody who sets any rules or boundaries will be seen as fascists. So it’s become something of an empty accusation. Want trains to run on time? Fascists and ableist for making people be on time. FDA quality control on food and drugs? Fascists against DIY cooks.
Perhaps it will pop the ‘gender affirming care’ echo chamber, and people will start critically examining the framing they’re interpreting things through.
We had similar language during HBGIDA era; so I’m not overly worried about it. But it does move transition from ‘easy’ to ‘hard’ mode.
We had similar language during HBGIDA era; so I’m not overly worried about it. But it does move transition from ‘easy’ to ‘hard’ mode.
December 20, 2025 at 4:42 PM
Perhaps it will pop the ‘gender affirming care’ echo chamber, and people will start critically examining the framing they’re interpreting things through.
We had similar language during HBGIDA era; so I’m not overly worried about it. But it does move transition from ‘easy’ to ‘hard’ mode.
We had similar language during HBGIDA era; so I’m not overly worried about it. But it does move transition from ‘easy’ to ‘hard’ mode.
Those unintended consequences have put the entire endeavor in jeopardy; which is why the community is in the situation it is in. Some amount of gatekeeping and friction needs to return. And while I don’t personally recommend ‘sex-denying’ language, I think it’s important for people to hear.
December 20, 2025 at 4:42 PM
Those unintended consequences have put the entire endeavor in jeopardy; which is why the community is in the situation it is in. Some amount of gatekeeping and friction needs to return. And while I don’t personally recommend ‘sex-denying’ language, I think it’s important for people to hear.
You’re not wrong that framing will lead to many people exiting care; and finding practitioners to work with will become more difficult. But open access where any non-specialist can refer, prescribe, or treat per insurance rules, has had all sorts of unintended consequences.
December 20, 2025 at 4:42 PM
You’re not wrong that framing will lead to many people exiting care; and finding practitioners to work with will become more difficult. But open access where any non-specialist can refer, prescribe, or treat per insurance rules, has had all sorts of unintended consequences.
Sex-rejecting as a framework is perfectly coherent, but would lead to policy positions like ‘yeah, there are downsides to transition like social ostracization and sterility, and it shouldn’t be recommended; but if you insist, I will try to make sure you are safe’.
December 20, 2025 at 4:42 PM
Sex-rejecting as a framework is perfectly coherent, but would lead to policy positions like ‘yeah, there are downsides to transition like social ostracization and sterility, and it shouldn’t be recommended; but if you insist, I will try to make sure you are safe’.
Having started during HBGIDA era, there are obvious differences in framing, which leads to values, which lead to policy approaches. That you don’t see any distinction between the two is due to the libertarian transgenderism framing. The do no harm transsexualism framing sees plenty of distinction.
December 20, 2025 at 4:08 PM
Having started during HBGIDA era, there are obvious differences in framing, which leads to values, which lead to policy approaches. That you don’t see any distinction between the two is due to the libertarian transgenderism framing. The do no harm transsexualism framing sees plenty of distinction.
Like I said… don’t get yourself arrested. Good luck with that.
December 20, 2025 at 8:35 AM
Like I said… don’t get yourself arrested. Good luck with that.
This is not that situation. But feel free to tell yourself that and continue to be disappointed.
December 20, 2025 at 6:19 AM
This is not that situation. But feel free to tell yourself that and continue to be disappointed.
You’re going to be very frustrated in the upcoming years. Good luck. Don’t get yourself arrested.
December 20, 2025 at 6:05 AM
You’re going to be very frustrated in the upcoming years. Good luck. Don’t get yourself arrested.
You can’t just treat every state like it’s California or Massachusetts.
December 20, 2025 at 3:46 AM
You can’t just treat every state like it’s California or Massachusetts.
The dude is from Texas; and the entire state is on hardcore difficult mode for trans folk. He would get 24/7 attack ads for voting yes. So, if he wants to protect adult access to GAC and immigrant issues, pediatrics is a non-starter.
December 20, 2025 at 3:46 AM
The dude is from Texas; and the entire state is on hardcore difficult mode for trans folk. He would get 24/7 attack ads for voting yes. So, if he wants to protect adult access to GAC and immigrant issues, pediatrics is a non-starter.
Some people are in the vanguard, pushing things forward. Others are pulling up the rear. 🤷♀️
December 20, 2025 at 2:14 AM
Some people are in the vanguard, pushing things forward. Others are pulling up the rear. 🤷♀️
As a clinician and having worked for CMS… my advice is don’t be surprised if many of those orgs pivot and comply with new regs.
December 20, 2025 at 2:12 AM
As a clinician and having worked for CMS… my advice is don’t be surprised if many of those orgs pivot and comply with new regs.
What ‘trans youth healthcare’ looks like is significant up for debate based on GLAADS roundup of statements from medical orgs. Insurance coverage for talk therapy and ‘wait and see’ is just as valid to many of those orgs as HRT and puberty blockers.
December 20, 2025 at 2:12 AM
What ‘trans youth healthcare’ looks like is significant up for debate based on GLAADS roundup of statements from medical orgs. Insurance coverage for talk therapy and ‘wait and see’ is just as valid to many of those orgs as HRT and puberty blockers.