A gender-affirming care Supreme Court case that will decide whether Tennessee can continue to ban gender-affirming care for transgender youth could imperil the ability of all Americans to make decisions about their health care, experts say. The outcome depends on how far the court is willing to stretch its ruling that overturned federal abortion rights.

In United States v. Skrmetti, the court has agreed to take up the question of whether gender-affirming care bans for trans youth are unconstitutional, in response to the Biden administration petitioning on behalf of trans youth and their families in Tennessee — one of 26 states that has banned such care for minors. The outcome of the gender-affirming care Supreme Court case will grant much-needed clarity in a political landscape that has thrown the lives of trans people across the country into turmoil, as hospitals turn patients away, pharmacies deny prescriptions and families travel hundreds of miles to find care.

Gender-Affirming Care Supreme Court Case Could Set a Precedent for Health Care Access Across the Country

But with the gender-affirming care Supreme Court case set for oral arguments on December 4, the stakes are even higher than most Americans realize, legal and policy experts say. Tennessee has banned gender-affirming care, such as puberty blockers and hormone replacement therapy, for a specific demographic — trans youth — while allowing those same treatments for cisgender youth. If the Supreme Court allows the state to keep its ban in place, that could imperil everyone’s access to health care.

“What the state of Tennessee is arguing is really dangerous for any person who has any sort of medical condition,” says Ezra Young, a civil rights lawyer and constitutional scholar. Tennessee is dictating what medical treatments people should or should not be allowed to have, Young said; that goes well beyond states’ authority to regulate medicine, specifically because giving health care to trans people is not a public health concern.

“The state can make sure that the doctor you see has a medical degree and has an active medical license, for instance,” he says. “What the state can't do is micromanage the medical decision-making of patients or doctors, and that's for good reason. Bureaucrats or lawmakers aren’t medical experts.”

Read the full article about this Supreme Court case on gender-affirming care by Orion Rummler at Them.