I encourage you look into reports from amnesty international, they document such stuff well. They are usually a year behind on stuff, the German report about 2022 reads

> Darüber hinaus wurden in verschiedenen Bundesstaaten Dutzende von Gesetzentwürfen eingebracht, die darauf abzielten, den Zugang zu gender-bestätigender Gesundheitsversorgung ("gender-affirming healthcare") für trans Jugendliche einzuschränken. [1]

Which i would loosely translate: Different states introduced dozens of law proposals which aim to reduce access to gender-affirming health care for trans teenagers.

In 2023 a lot more stuff has happened [2] and might be in preperation.

Gender-affirming care is as far as the data suggests the best way to treat ICD-10 F64.0 and sub categories. Denying people those treatments to a legitimate and internationally recognized diagnosis is depriving them health care. Health care is a human right [3].

[1] https://www.amnesty.de/informieren/amnesty-report/usa-2022#s...

[2] https://thehill.com/changing-america/respect/diversity-inclu...

[3] https://www.ohchr.org/sites/default/files/Documents/Publicat...

Republicans have made trans people the target of their newest culture war.

They're pushing to ban gender-affirming care, usually focusing on minors but some of the bans are for people up to age 26, and they're making noise about restricting or banning it for adults too.

This is easily googled. Look what just happened in Missouri. Florida is next.

And then there's the fact that dozens of red states have banned health care for trans youth.

We will die by the dozen. By our own hand; by gunshot. 'Death before detransition,' as we say.

But you will remember who really pulled the trigger, and who did nothing. It can and should haunt you.