Last week, the Mount Sinai hospital system in New York—which sees about 6 million outpatient visits per year—announced that it had reached a settlement with the Department of Justice, agreeing to stop providing gender-affirming care to trans patients under 18.

That was disturbing news to Angelica Jadunandan, who moved to New York from Florida with her two young daughters three years ago. Her older daughter, who is eight, is transgender, and Angelica wanted to move them to a safe blue state—somewhere her family’s medical care would not be called into question. New York is a self-declared “sanctuary state” for trans people. It seemed like a good option.

“My daughter told me she was trans when she was three years old,” Jadunadan told a group of protesters outside Mount Sinai on September 8th. “It wasn’t ‘I think.’ It was ‘I know.’” So the family moved a thousand miles from home, hoping for safety. “But I know better than most that this fight follows you, wherever you go,” Jadunadan said.

As hospitals continue to fold to Trump’s Department of Justice, gender-affirming care for trans kids, even in blue states, is looking less........

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