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A federal policy expert weighs in on Trump’s efforts to stifle gender-affirming care for Americans under 19

Elana Redfield, University of California, Los Angeles
Amid a flurry of executive orders affecting transgender Americans, the Trump administration ordered restrictions on gender-affirming care for minors. Calling it “a stain on our Nation’s history,” the Jan. 28, 2025, order seeks to “end” this form of treatment for Americans under 19 years old.
The Conversation U.S. interviewed Elana Redfield, federal policy director at the Williams Institute, an independent research center at the UCLA School of Law dedicated to studying sexual orientation and gender identity law. She describes the aims of the executive order, how much weight it carries, and how it should be understood in the broader context of legal battles over access to gender-affirming care.
What’s the scope of the executive order?
Twenty-six states have already restricted gender-affirming care for minors or banned it outright. So the order seeks to extend restrictions to the rest of the country using the weight of the executive branch.
However, it’s not a national ban on gender-affirming care for minors. Instead, it’s directing federal agencies to regulate and restrict this form of care.
That being said, federal agencies have a tremendous impact on American life. Trans kids rely on publicly funded health insurance programs such as Medicaid and TRICARE, which is administered to the children of active duty service members via the Department of Defense. And a big part of the executive order is directing the federal agencies that administer these programs to review their own policies to ensure that they are not supporting gender-affirming care for minors.
So what we’re really seeing is the federal government trying to erect barriers to kids accessing this care.
Does the executive branch have the authority to unilaterally ban federal funding of certain medical treatments?
The answer is a little mixed. A president might be able to suspend or put a temporary pause on funding a particular type of treatment or service. But the actual parameters of a program – and how agencies should implement them – are determined by Congress and, to some extent, by the courts.
Ultimately, the president can only take actions in ways that are designated by the Constitution, or through some specific power that Congress has granted to the executive branch. I don’t see that authority granted for a lot of what’s contained in this executive order. But many of these directives will probably be litigated in court, where the president will likely argue that he has the power to direct agencies to do all they can to put a halt to gender-affirming care for minors.
Do private health insurers fall outside the scope of this executive order?
On the surface, yes. But it’s easy to see how directives from the executive branch can touch broader components of the country’s health care system, including private hospitals and private health insurance.
For example, Section 1557 of the Affordable Care Act is a nondiscrimination provision. It says there can be no sex discrimination when it comes to approving health care treatments. This has been interpreted to mean that health insurance plans receiving federal funding cannot deny a policyholder gender-affirming care. However, this interpretation has been blocked by a federal court.
The question of whether this definition of sex discrimination encompasses gender identity is currently playing out in the courts. For example, there’s a pending U.S. Supreme Court decision regarding a Tennessee law banning gender-affirming care for minors. Should the Supreme Court determine that Tennessee is able to ban gender-affirming care for minors, it’s possible to see how this could impact private health insurance coverage for gender-affirming care.

What else stood out to you from the executive order?
The executive order directs the Department of Justice to discourage doctors and hospitals from administering gender-affirming care to minors, characterizing it as genital mutilation, which is a heinous-sounding offense. Even though this is an inaccurate comparison, it could have a chilling effect even in states where this form of care is legal.
The order also contains a provision that asks Congress to extend the statute of limitations for gender-affirming care, so that someone who received gender-affirming care as a minor and decides they’re not happy with it decades later can sue their doctor. Some states have already extended the statute of limitations to 30 years for gender-affirming care.
Again, this could have a chilling effect in states where the care is legal. What doctor or hospital would want to expose themselves to this risk?
Of course, these two elements constitute directives from the executive branch, but we don’t know how they’ll be enforced. They do reveal, however, some of the ways in which the administration plans to direct its efforts.
Before Roe v. Wade was overturned, federal funding of elective abortion had been restricted for decades under the Hyde Amendment. You can’t receive coverage for an abortion under a Medicaid plan, for example. Do you see this executive order as Trump trying to simply enact – via fiat, of course – his own version of the Hyde Amendment, but instead applied to gender-affirming care for minors?
I think there’s a key difference between the two. The Hyde Amendment, which has been repeatedly reenacted by Congress, prohibits federal funding of abortion care, but it doesn’t prohibit states from allowing or permitting abortion. It’s always operated as a sort of compromise: It says providers can’t use federal funding for an abortion, but they can use their own funding to administer abortions – and oh, by the way, they can still receive federal funding for other health services.
This executive order, on the other hand, takes a much more uncompromising position: It tells agency heads to stop directing any and all federal funds to institutions that research or provide gender-affirming care.
Again, it’s important to remember that executive orders aren’t established policy. They’re simply directing agencies to craft certain policies and encouraging lawmakers to enact legislation.
So far, much of the legislation restricting gender-affirming care – whether it’s at the state level or in the executive branch – has centered on minors, or individuals under 19. Are there any threats to gender-affirming care for adults?
Only one state, Florida, has enacted a law that specifically regulates gender-affirming care for adults. That law basically sets some compliance standards and restricts who can prescribe the care. Florida also banned the use of state funds for gender-affirming care for everyone, adults and children. So that means, for example, those who are incarcerated in state prisons can’t receive gender-affirming care.
Florida isn’t the only state that has enacted a state funding ban. Depending on your insurance, this could mean you’re forced to pay out of pocket for your procedures and treatment, which can be prohibitively expensive.
What are you going to be watching for in the coming weeks?
I’m sure someone’s going to sue to challenge the order. The problem, though, is that an executive order is an expression of policy ideas. You need something to actually happen before lawyers and activists can react to it. So I’ll be tracking federal agencies to see how they specifically try to enact some of these directives.
Is there anything else you’d like to add?
This executive order contains language that characterizes the science around gender-affirming care as junk science. It’s repeatedly described as chemical and surgical mutilation, or as maiming and sterilizing kids. There’s talk of rapid-onset gender dysphoria, which has been discredited.
So it rejects the idea that gender-affirming care has health benefits, even though there’s robust, extensive evidence supporting access to gender-affirming care. Self-reporting by transgender individuals is overwhelmingly positive: 98% of trans people who had hormone therapy said it made their lives better, according to the 2022 U.S. Transgender Survey.
There are also rigorous standards of practice, including for how you support and treat minors, that are intended to prevent overprescription or overutilization of services.
In other words, there are already barriers in place and checks and balances for minors if they want to access gender-affirming care.
Elana Redfield, Federal Policy Director at the Williams Institute, University of California, Los Angeles
This article is republished from The Conversation under a Creative Commons license. Read the original article.
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Are animals smart? From dolphin language to toolmaking crows, lots of species have obvious intelligence

Leticia Fanucchi, Oklahoma State University
Curious Kids is a series for children of all ages. If you have a question you’d like an expert to answer, send it to [email protected].
Are animals smart? – Deron
It’s a fascinating question that intrigues millions of pet owners, animal lovers, veterinarians and scientists all over the world: Just how smart are animals?
Scientists once believed a brain with billions of neurons was a requirement for intelligence. After all, that’s why you’re able to think – neurons are the nerve cells in the brain that connect and transmit messages to each other.
For the record, the human brain has about 86 billion neurons. For comparison, dogs and cats have less than one billion.
Yet the more that scientists like me study animal emotion and cognition – the ability to learn through experiences and thinking – the more we find that humans are not very special at all. Many nonhuman species can do these things too.
Right now, there’s no agreement on how to decide whether a particular animal species is intelligent. But most scientists who study animal cognition have observed that many animals are able to solve problems, use tools, recall important information about their environment and recognize themselves in the mirror.
Toolmaking bears and crows
Memory is a marker of intelligence. Of all animals, humans possess the most accurate and sophisticated memory. But elephants can recognize as many as 30 traveling companions at a time. They also learn to migrate away from drought-prone areas, based on memories of earlier droughts.
That kind of recall – known as episodic memory – is the ability to remember an event, including when and where it occurred. Until recently, scientists thought only humans had it. But now researchers have learned that some birds, cats, rats, monkeys and dolphins have it too.
Animals may not remember every experience – neither do people – but they do recall things critical to their survival. For example, birds know where they stored food. Monkeys know the presence of a predator.
Scientists once thought tool use was an exclusively human ability, but that’s not so. Chimpanzees use sticks to catch termites and stones to crack nuts open. Crows can even manufacture tools. By bending a wire, they can make a hook to retrieve a food reward that’s otherwise out of reach.
Researchers presented eight captive brown bears with this food challenge: Three objects – a large log, a small log and a box – were placed in an outdoor enclosure. A food reward was suspended above them. Six of the eight bears were able to move the logs and box into positions that enabled them to fetch the reward. Essentially, they used the three objects as tools.
Dolphin, chimpanzee communication
Language is another measure of intelligence. People, of course, have enormously sophisticated communication skills. But dolphins have complex dialects in the form of crackles, squeaks and whistles. Many researchers say the noises are a language. Chimpanzees and gorillas have used sign language to express emotions and ask for things from people.
Self-awareness – the ability to recognize yourself as an individual – signals intelligence. Babies don’t recognize themselves in the mirror until they are about a year and a half old. Up until then, they probably think the mirror image they see is another baby.
Many other species, including dolphins, ravens and elephants, recognize themselves in the mirror. Researchers put a red dye mark on chimpanzees under anesthesia; once awake, the chimps saw their reflection in a mirror. Instead of touching the red mark on their reflection in the glass, they touched the red mark on themselves, indicating self-recognition.
Just because animals can’t do certain things, it doesn’t mean they’re unintelligent. After all, humans can’t fly like a bird or swim like a fish. Nor is there a need for us to have the incredible sense of smell a dog has. We’d be sniffing hundreds of different smells from miles away – the scents from perfumes and pollution, gardens and garbage. From an evolutionary standpoint, that wouldn’t help us much. Plus, we’d get sick of it very quickly.
But all animals, including humans, have developed a wide range of capabilities so they can succeed in the environment they live in. Put simply, we’re all using our brains. Now that’s intelligent.
Hello, curious kids! Do you have a question you’d like an expert to answer? Ask an adult to send your question to [email protected]. Please tell us your name, age and the city where you live.
And since curiosity has no age limit – adults, let us know what you’re wondering, too. We won’t be able to answer every question, but we will do our best.
Leticia Fanucchi, Clinical Assistant Professor of Veterinary Clinical Sciences, Oklahoma State University
This article is republished from The Conversation under a Creative Commons license. Read the original article.
The science section of our news blog STM Daily News provides readers with captivating and up-to-date information on the latest scientific discoveries, breakthroughs, and innovations across various fields. We offer engaging and accessible content, ensuring that readers with different levels of scientific knowledge can stay informed. Whether it’s exploring advancements in medicine, astronomy, technology, or environmental sciences, our science section strives to shed light on the intriguing world of scientific exploration and its profound impact on our daily lives. From thought-provoking articles to informative interviews with experts in the field, STM Daily News Science offers a harmonious blend of factual reporting, analysis, and exploration, making it a go-to source for science enthusiasts and curious minds alike. https://stmdailynews.com/category/science/
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A boycott campaign fuels tension between Black shoppers and Black-owned brands – evoking the long struggle for ‘consumer citizenship’
Target’s recent decision to end its diversity programs has sparked backlash among Black consumers and entrepreneurs. While some call for a boycott, others caution that it could harm Black businesses more than the retailer.

Timeka N. Tounsel, University of Washington
Some Black consumers may be breaking up with Target this February.
It all started late last month, when the retailer announced that it was ending its diversity, equity and inclusion programs. The move drew widespread rebuke from social justice organizers, including New Birth Missionary Baptist Church Pastor Dr. Jamal Bryant. Although Target said one set of its racial-equity initiatives had already been scheduled to conclude, the timing was notable: The move came just days after the White House called for a federal DEI ban, and as several other companies took similar actions.
Beyond renaming its “supplier diversity” team – now called “supplier engagement” – and ending “diversity-focused surveys,” Target hasn’t said what the change will mean for the many Black entrepreneurs who sell everything from coffee to sunscreen on its shelves. The webpage for the retailer’s Black Beyond Measure initiative, which highlights dozens of Black-founded brands and connects business owners to a program designed to “democratize access to retail education,” remains active.
But Target’s critics, including Minneapolis-based civil rights attorney Nekima Levy Armstrong, view the move as a surrender to the new presidential administration’s attack on equity programs. In a news conference outside Target’s Minnesota headquarters on Jan. 30, 2025, Armstrong called for a nationwide boycott of the store to begin on the first day of Black History Month.
While many social media users posted in support of the boycott, some Black founders whose brands are stocked by Target – and there are dozens of them – have been more conflicted. Tabitha Brown, whose products can be found in various aisles, from books to cooking appliances, asked customers to reconsider boycotting Target. Withholding their dollars, Brown insisted, will hurt Black businesses far more than the corporations that sell their products.
This request for restraint garnered a mixed response on social media. Some Black consumers accused Black business owners of selling out the very racial community that contributed to their success.
So, why would a Black business owner ask consumers to patronize a retailer that signaled it doesn’t care about Black customers? And how did something as mundane as where people buy toilet paper and shampoo become a litmus test for racial consciousness in the first place?
Black consumers and the fight for dignity
The marketplace has long been a battleground where Black Americans have sought to assert their citizenship. Most of the nation’s biggest household brands didn’t begin to take African American consumers seriously until after World War II. Before that shift, advertisements and product packaging were more likely to feature degrading Black caricatures to appeal to white shoppers, than to address Black consumers directly.
This segregated commercial landscape reinforced the belief among some community members that Black people would not be taken seriously as citizens until they were taken seriously as consumers. They would need to vote with their dollars, patronizing only those brands and retailers that respected them.
In my research on marketing campaigns aimed at Black women, I’ve examined how the struggle for consumer citizenship complicated the dynamic between Black entrepreneurs and consumers. On the one hand, businesses have long leveraged Black ownership as a unique selling proposition in and of itself, urging shoppers to view Black brand loyalty as a path to collective racial progress.
Unlike their larger competitors, Black entrepreneurs relied on their racial community to stay afloat. Patronizing African American businesses could therefore be framed as a racial duty. Conversely, as African American advertising pioneers made clear, recognition from big brands was a political victory of sorts because it signaled that Black dollars were just as valuable as anyone else’s. https://www.youtube.com/embed/SAFubUnsl3Y?wmode=transparent&start=0 A short documentary from The Advertising Club of New York featuring iconic ads from African American marketer Tom Burrell.
Competing for Black dollars
Corporate attention to Black consumers ebbs and flows in a cycle that is especially noticeable in the beauty and personal care industry. In seasons of limited competition for African American customers, entrepreneurs typically thrive, even while they struggle to meet the capital demands of a growing brand. Their success, however, beckons larger corporations, which then seek to capitalize on consumer niches they previously ignored.
Two common approaches that mass market brands pursue to compete for Black dollars include acquiring smaller, established Black brands and developing their own niche products. Large corporations deployed both strategies during a period of intense expansion into the beauty market of the 1980s.
Black owners tried to stave off their competition by creating a special emblem that alerted shoppers to their authenticity. Then, as now, social justice organizations, such as Rev. Jesse Jackson’s Operation PUSH, also initiated boycotts and urged Black consumers not to choose “lipstick over liberation.”
Nevertheless, many Black entrepreneurs sold their brands, and by 1986 nearly half of the Black hair care market was no longer Black-owned.
A linked fate
Parsing winners and losers within the world of Black enterprise is as difficult now as it was in earlier periods. African American business owners often possess a cultural consciousness that distinguishes their brands, even when they can’t match the resources of larger competitors. And as they figure out how to survive an uneven playing field, Black entrepreneurs sometimes face accusations of betraying their racial community.
In a market governed by the law of supply and demand, Black consumers benefit from increased competition. Yet, racial loyalty sometimes asks that they eschew these benefits for the sake of keeping Black dollars in Black hands.
Four years ago, when Target launched its Black Beyond Measure funding initiative, it seemed that the retailer had struck a rare balance in supporting Black brands and their customers. In addition to curating a collection of products to lure shoppers, Target used the campaign as an opportunity to position entrepreneurs to flourish well beyond Black History Month.
Now, as Black consumers and business owners weigh varying responses to the retailer’s decision to reverse their commitment to DEI values, one question endures: Do Black dollars matter?
Timeka N. Tounsel, Associate Professor of Black Studies in Communication, University of Washington
This article is republished from The Conversation under a Creative Commons license. Read the original article.
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Consumer Corner
Trump’s opening tariff salvo will hurt US consumers − following through on Canada, Mexico threats will increase the price pain

Jason Reed, University of Notre Dame
If U.S. voters reelected Donald Trump hoping for relief from higher prices, his recent threats to impose tariffs on America’s three largest trade partners might make them think again.
On Saturday, Feb. 1, Trump announced 25% tariffs on Canada and Mexico and 10% tariffs on China, which he said would take effect on Tuesday, Feb. 4. While markets braced for the news to some degree, they still saw a steep premarket sell-off on Monday, Feb. 3, followed by morning volatility.
While Canada and Mexico negotiated monthlong reprieves on Monday, the new tariffs on China went into effect as expected Tuesday, Feb. 4. And while the ultimate shape of Trump’s tariff policy remains to be seen, the president warned that American consumers could feel “some pain” as a result.
Given my training as an economist and finance professor, I think Trump could be right on that score. In fact, if the tariffs go into effect, they could spell disaster for the Federal Reserve’s inflation reduction efforts.
From grocery stores to homes
U.S. consumers might be surprised to find out that almost every economic sector could be affected by this opening salvo of tariffs, should they go ahead in March. Imports from Mexico and Canada reached close to US$1 trillion in 2024, almost double the amount the U.S. imports from China.
The U.S. is particularly reliant on Mexico for fresh fruits and vegetables, and on Canada for lumber. So if the tariffs go into effect, Americans who have been waiting for home prices to ease may have to continue waiting, as tariffs on lumber and other building materials could worsen the affordable-housing crunch. And let’s not even talk about avocado prices.
Meanwhile, the 10% tariffs on Chinese goods will likely boost the price of electronics, and China has already imposed retaliatory measures. Trump has also proposed 25% tariffs on Taiwan and its semiconductor industry, in an attempt to push Taiwanese companies to invest more in U.S. manufacturing. If that tariff were to go into effect, prices for U.S. consumers would be even higher.
A tax by any other name …
Tariffs are an import tax. They’re passed through the supply chain in the form of higher prices and are eventually paid by consumers. Traditionally, governments have used tariffs as a fiscal tool to encourage businesses and consumers to move away from foreign-made products and support domestic businesses instead.
In theory, new tariffs could encourage foreign businesses to invest in the U.S. and make more stuff on American soil. Unfortunately, domestic manufacturing has seen a systemic decline since the 1980s, resulting in lower prices for consumers but severely limiting U.S.-produced products. In the short term, at least, import taxes on Canadian, Mexican and Chinese products would ultimately be paid by U.S. consumers.
Although this round of tariff threats may seem arbitrary to some, the Trump administration says it considers tariffs deeply intertwined with national security concerns. Stephen Miran, Trump’s pick to chair the president’s Council of Economic Advisers, has laid out a path for Trump’s tariff plan, which he says is aimed at putting American industry on fairer ground against the rest of the world.
In the long term, it’s unclear whether Trump’s threatened trade war will bring domestic manufacturing back to the U.S. and start a new industrial renaissance. In the meantime, American consumers will likely be stuck holding the bag.
Jason Reed, Associate Teaching Professor of Finance, University of Notre Dame
This article is republished from The Conversation under a Creative Commons license. Read the original article.
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