Feb 9
Anti-LGBTQ+ Policies Harm the Health of Not Only LGBTQ+ People, but All Americans
READ TIME: 7 MIN.
Harms of Emerging Anti-LGBTQ Policies
Emerging anti-LGBTQ+ policies could also have consequences for large swaths of the population beyond LGBTQ+ people.
In 2025, the Supreme Court will hear Braidwood v. Becerra, a case arguing that requiring employers to cover PrEP – a once-a-day pill that is highly effective at preventing HIV infection – as part of the insurance plan they offer employees violates their religious freedom. Texas District Judge Reed O'Connor agreed that mandating PrEP coverage requires the plaintiffs to "facilitate and encourage homosexual behavior."
O'Connor ruled in 2023 to overturn the Affordable Care Act's requirement that insurers fully cover preventive care. He argues this can be done on the grounds that the U.S. Preventive Services Task Force – a group of physicians and researchers that evaluates the quality and efficacy of preventive services – is unconstitutional. This legal challenge puts free coverage of mammograms, vaccinations and other preventive services into limbo for millions of Americans.
The Trump administration has scrubbed federal web pages of resources, programs and documents that reference gender and LGBTQ+ people. This order includes removing datasets that have been continuously updated since the 1980s to track public health issues such as homelessness, bullying in schools, and smoking and drinking, likely because they include LGBTQ+ demographic information.
The administration has also ordered federal health agencies to retract scientific research that may be inclusive of LGBTQ+ people by searching for specific keywords, such as "gender." The National Science Foundation is also screening active scientific research projects that use words like "women," "trauma" and "disability." Removing this data not only hamstrings public health research and programming for LGBTQ+ populations, but also restricts it for all Americans.
These decisions are in stark contrast to countries such as England, Wales, New Zealand and Australia, which have collected or are planning to collect LGBTQ+ demographic data as part of their national census. Including LGBTQ+ people in demographic data reflects best practices that were outlined in the Federal Evidence Agenda on LGBTQI+ Equity issued under the Biden administration. These guidelines have since been removed.
