Emily Soleia
@emilysoleia.bsky.social
I agree it’s dire, and it’s clear they’re coming for the broader provider ecosystem. My point was that I read this regulation as not touching non-hospital providers who take medicaid. Which, agreed are few and far between.
But seriously, this isn’t intended to be criticism. You do amazing work.
But seriously, this isn’t intended to be criticism. You do amazing work.
December 18, 2025 at 5:22 PM
I agree it’s dire, and it’s clear they’re coming for the broader provider ecosystem. My point was that I read this regulation as not touching non-hospital providers who take medicaid. Which, agreed are few and far between.
But seriously, this isn’t intended to be criticism. You do amazing work.
But seriously, this isn’t intended to be criticism. You do amazing work.
It looks like per this proposed regulation they’re acknowledging that a substantial number of patients receive gender affirming care outside of hospitals, and they’re currently gathering info on that. See pages 29 and 30 of the proposed regulation PDF. So unfortunately that’s on their radar too.
December 18, 2025 at 5:18 PM
It looks like per this proposed regulation they’re acknowledging that a substantial number of patients receive gender affirming care outside of hospitals, and they’re currently gathering info on that. See pages 29 and 30 of the proposed regulation PDF. So unfortunately that’s on their radar too.
Thank you for your reporting! This is dire, but I don’t read the Medicaid definition of “hospital” as broadly as you do here. Independent providers and non-hospital clinics may be more resilient options for patients even in the face of this. At least for now.
Happy to expand on this if desired.
Happy to expand on this if desired.
December 18, 2025 at 5:16 PM
Thank you for your reporting! This is dire, but I don’t read the Medicaid definition of “hospital” as broadly as you do here. Independent providers and non-hospital clinics may be more resilient options for patients even in the face of this. At least for now.
Happy to expand on this if desired.
Happy to expand on this if desired.
The only active one that’s older is Trump v. Cook, which the Court isn’t going to look at until after the argument scheduled for January.
November 6, 2025 at 5:22 PM
The only active one that’s older is Trump v. Cook, which the Court isn’t going to look at until after the argument scheduled for January.
Yes, it’s far beyond the 24/25 term average time for ruling on Trump admin emergency applications, which was 32 days. This one has been pending for 45 days and counting.
November 6, 2025 at 5:19 PM
Yes, it’s far beyond the 24/25 term average time for ruling on Trump admin emergency applications, which was 32 days. This one has been pending for 45 days and counting.
Such absolute cowards. These are the people who are best situated to publicly oppose Trump. But they’re too afraid to do it, so it falls on far more vulnerable people to do the work. It’s utterly shameful.
October 24, 2025 at 12:18 PM
Such absolute cowards. These are the people who are best situated to publicly oppose Trump. But they’re too afraid to do it, so it falls on far more vulnerable people to do the work. It’s utterly shameful.
This “lawless thugocracy” drives me insane. One reason I went into law is I hate not understanding things that exert power over me. It’s complicated, but the rules are understood. But this shit is a black box of lawless whim. I don’t know how to navigate that. I don’t know how to advise about that.
October 23, 2025 at 3:56 PM
This “lawless thugocracy” drives me insane. One reason I went into law is I hate not understanding things that exert power over me. It’s complicated, but the rules are understood. But this shit is a black box of lawless whim. I don’t know how to navigate that. I don’t know how to advise about that.
Yes, exactly! EOs are not laws, but state anti-discrimination laws ARE. Illegal pressure coming from the president, as intimidating as it may be, does not excuse these organizations from their legal obligations.
October 17, 2025 at 2:08 PM
Yes, exactly! EOs are not laws, but state anti-discrimination laws ARE. Illegal pressure coming from the president, as intimidating as it may be, does not excuse these organizations from their legal obligations.
This is the development I’m hungry for right now. We need test cases to pressure the state AGs to enforce non-discrimination laws. The law isn’t vague here. Discrimination isn’t permitted, and taking federal funds is not required. Institutions need to start saying “no” to these illegal EO demands.
October 16, 2025 at 10:21 PM
This is the development I’m hungry for right now. We need test cases to pressure the state AGs to enforce non-discrimination laws. The law isn’t vague here. Discrimination isn’t permitted, and taking federal funds is not required. Institutions need to start saying “no” to these illegal EO demands.
Jesus, people, it’s a joke. He’s mocking the WSJ’s gross journalistic malpractice in their story yesterday about “transgender ideology” supposedly engraved on the bullet casings. Big surprise, turns out there was nothing related to trans people, but this little Italian ditty made an appearance.
September 12, 2025 at 5:15 PM
Jesus, people, it’s a joke. He’s mocking the WSJ’s gross journalistic malpractice in their story yesterday about “transgender ideology” supposedly engraved on the bullet casings. Big surprise, turns out there was nothing related to trans people, but this little Italian ditty made an appearance.
Dethklok’s Metalocalypse: Dethalbum III reached the top 10 on the Billboard 200, and their song Awaken hit number 25 on on the Billboard rock charts in 2018.
September 9, 2025 at 11:44 AM
Dethklok’s Metalocalypse: Dethalbum III reached the top 10 on the Billboard 200, and their song Awaken hit number 25 on on the Billboard rock charts in 2018.
It’s always the same. If only there was some sign the GOP wasn’t supportive of lesbian and gay people. Maybe if the GOP had just recycled the same attacks on trans people, verbatim, that they used against LGBTQ people for decades it would have been obvious enough for people like this. Oh, wait. 🙄
June 11, 2025 at 5:50 PM
It’s always the same. If only there was some sign the GOP wasn’t supportive of lesbian and gay people. Maybe if the GOP had just recycled the same attacks on trans people, verbatim, that they used against LGBTQ people for decades it would have been obvious enough for people like this. Oh, wait. 🙄
I’m really interested to see what hiring is like for the firms that capitulated. We’ll have to see how many junior attorneys are keen on working those “pro bono” cases when Trump comes to collect.
May 31, 2025 at 4:40 PM
I’m really interested to see what hiring is like for the firms that capitulated. We’ll have to see how many junior attorneys are keen on working those “pro bono” cases when Trump comes to collect.
That’s something that always strikes me — how absolutely mediocre these right wing people are. At this point the right wing ecosystem is just a shortcut for the terminally lazy and unqualified.
May 29, 2025 at 11:28 PM
That’s something that always strikes me — how absolutely mediocre these right wing people are. At this point the right wing ecosystem is just a shortcut for the terminally lazy and unqualified.
I feel this. I’m transgender, and I’m a lawyer. This administration has been waging all out war against both my professional and personal identities.
May 29, 2025 at 5:28 PM
I feel this. I’m transgender, and I’m a lawyer. This administration has been waging all out war against both my professional and personal identities.
Qu'ils mangent de la brioche
May 5, 2025 at 12:43 AM
Qu'ils mangent de la brioche
Qu'ils mangent de la brioche
May 5, 2025 at 12:42 AM
Qu'ils mangent de la brioche
It’s not “misunderstanding”. It’s lying. They’re transparently lying about the studies and reviews which have been performed, to justify continuing to try to exterminate us.
May 1, 2025 at 4:49 PM
It’s not “misunderstanding”. It’s lying. They’re transparently lying about the studies and reviews which have been performed, to justify continuing to try to exterminate us.
I’ll never stop criticizing actions like Trump’s love affairs with dictators or his pardon of the January 6 insurrectionists. Because those actions are *wrong*, regardless of whether he technically has the power to take them.
May 1, 2025 at 1:35 PM
I’ll never stop criticizing actions like Trump’s love affairs with dictators or his pardon of the January 6 insurrectionists. Because those actions are *wrong*, regardless of whether he technically has the power to take them.
One thing that drives me crazy with this kind of take from the NYT is that it implies that just because an action is legal, it shouldn’t be criticized. That’s…insane. Something being legal is table stakes. Something being legal doesn’t mean that it is moral, beneficial, or wise.
May 1, 2025 at 1:33 PM
One thing that drives me crazy with this kind of take from the NYT is that it implies that just because an action is legal, it shouldn’t be criticized. That’s…insane. Something being legal is table stakes. Something being legal doesn’t mean that it is moral, beneficial, or wise.
None of those are inherently gendered tasks to begin with. This sounds like something she should be taking up in marriage counseling, instead of ranting about trans women on the internet about. It’s not our fault she married a worthless lump.
April 20, 2025 at 1:57 PM
None of those are inherently gendered tasks to begin with. This sounds like something she should be taking up in marriage counseling, instead of ranting about trans women on the internet about. It’s not our fault she married a worthless lump.
Please take care of yourself! These times are trying on us all, and you have it especially bad being immersed so deep in following it all.
April 6, 2025 at 12:28 AM
Please take care of yourself! These times are trying on us all, and you have it especially bad being immersed so deep in following it all.
But that would require honest introspection and the courage to actually do something to fix their own lives. Much easier just to burn it all down for everyone.
April 5, 2025 at 6:20 PM
But that would require honest introspection and the courage to actually do something to fix their own lives. Much easier just to burn it all down for everyone.