The hottest U.S. Politics Substack posts right now

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What's Behind Trump's War on Science?

Richard Hanania's Newsletter • 731 implied HN points • 12 Jun 25
🇺🇸 U.S. Politics Policy Analysis Political Commentary Populism
  1. The Trump administration cut science funding significantly, with research funding dropping drastically in many fields. This has created a crisis for the National Science Foundation.
  2. The slow distribution of research funds is linked to both incompetence and a focus on politically favored themes. This shows a lack of value for basic research.
  3. Overall, this issue reflects broader problems with populism, where anger can lead to harm without clear targets, often causing more chaos than resolution.

Social media destroyed one of America's key advantages

Noahpinion • 29235 implied HN points • 13 Jun 25
🇺🇸 U.S. Politics Social media Polarization Public Sentiment Cultural Issues
  1. Social media has trapped people together, making it harder to escape from differing views and decreasing trust among Americans. It was easier before to live separately and avoid conflicts.
  2. The rise of smartphones and social media has led to increased feelings of unhappiness and anxiety among people, especially educated liberals who are facing challenges from their peers.
  3. America's unique culture of geographic sorting allowed for diverse opinions to coexist more peacefully, but social media has broken down those barriers, leading to greater polarization and conflict.

Hey Democrats, This Is Why You’re Losing Young Men

Erick Erickson's Confessions of a Political Junkie • 1758 implied HN points • 28 Oct 24
🇺🇸 U.S. Politics Elections Campaigns Voting Political strategy Voter Demographics
  1. Democrats struggle to connect with young male voters, which could impact upcoming elections.
  2. Some recent campaign ads have missed the mark, focusing on inappropriate and exaggerated themes.
  3. There is a belief among some Democrats that young men care only about sexual issues rather than economic and social concerns.

Trump roundup: Five days

The Watch • 585 implied HN points • 27 Feb 25
🇺🇸 U.S. Politics Political corruption Executive Power Immigration Policy Political violence Government Accountability
  1. The administration is facing serious issues, like ignoring court orders and appointing unqualified people to key positions. This raises concerns about how the government is being managed.
  2. Immigration policies are getting stricter, with reports of plans for mass deportations and detaining people for simply checking in with authorities. This is creating a lot of fear among immigrant communities.
  3. There are increasing threats to free speech and the press, with officials targeting critics and controlling narratives. This could have lasting effects on how information is shared and how citizens engage with their government.

Trump's Parade of Horribles

Slack Tide by Matt Labash • 189 implied HN points • 13 Jun 25
🇺🇸 U.S. Politics Elections Policy Government Political Commentary Social Issues
  1. Trump's upcoming parade events are portrayed as outlandish and satirical, highlighting how his presidency has been characterized by unusual spectacles.
  2. There is a sense of irony in how the military is being politicized for show, reflecting on the nature of political power and display.
  3. The tone suggests a critical view of Trump's antics and compares him to dictators who use grand displays for personal gain.
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Calling It

Dana Blankenhorn: Facing the Future • 138 implied HN points • 01 Nov 24
🇺🇸 U.S. Politics Elections Campaigns Candidates Voting Policy
  1. Democrats have strong advantages for the upcoming election, including a solid candidate and effective campaign strategy. This suggests they are in a good position to win.
  2. Polls indicate that Democratic candidates are performing well, which could mean the overall race is more favorable for them than it appears.
  3. The strong economy and recent political events are likely to boost Democratic support, indicating a positive outlook for democracy in the upcoming elections.

This Is Peak Trump

Common Sense with Bari Weiss • 1335 implied HN points • 01 Jul 25
🇺🇸 U.S. Politics Elections Policy Foreign Relations Legal issues Domestic Issues
  1. Trump has been experiencing a lot of successes lately, particularly in foreign policy and legal achievements. His supporters are feeling very positive about this winning streak.
  2. He is planning to sign an important tax and spending bill on July 4, which could solidify his political agenda. This timing is seen as very significant by his followers.
  3. Trump has proven to be effective in delivering on his promises, surprising many critics who underestimated him. His recent successes have boosted his standing with his base.

THE SHOW NOTES: Nazi Republicans, 50 Million Votes, & Kamala Cringe

Erick Erickson's Confessions of a Political Junkie • 1159 implied HN points • 29 Oct 24
🇺🇸 U.S. Politics Elections Media Campaigns Political parties Public Opinion
  1. CNN has started using severe language, calling Republicans Nazis, linking them to a negative history. This creates a strong division in political discussions.
  2. 50 million Americans have voted early, showing a high level of engagement in the upcoming election. This could indicate strong turnout on election day.
  3. Kamala Harris's campaign has faced challenges, with her waiting until the last minute to showcase key moments. Her approach seems less appealing compared to other candidates.

#226: New York’s mayoral race is a parable

Maybe Baby • 2203 implied HN points • 22 Jun 25
🇺🇸 U.S. Politics Elections Candidates Progressivism Political strategy Media influence
  1. The New York mayoral race shows a clash between old political styles and new ideas. One candidate focuses on exciting, progressive policies while the other relies on name recognition despite a troubled past.
  2. Media often ignore or attack new candidates who propose bold changes, fearing they might disrupt the status quo. This highlights a pattern of sidelining progressive voices in politics.
  3. Supporting candidates with strong, hopeful visions can create a sense of community and empowerment. Engaging in political activism can make people feel part of something bigger and more meaningful.

The Dilemma of the Pacifist Lion

Breaking Smart • 21 implied HN points • 22 Jun 25
🇺🇸 U.S. Politics Leadership War Military Public Opinion Political theory
  1. Leaders often struggle to balance their desire for peace with the need to show strength. This can lead to awkward situations where they want to appear strong while promoting non-violence.
  2. Actions speak louder than words, especially in tough situations. Doing something significant, like military action, may seem necessary for leaders to prove their strength.
  3. The unpredictable outcomes of bold decisions create doubt, and even those in power may act against their perceived nature to manage expectations and counter narratives about their reliability.

Contra MR On Charity Regrants

Astral Codex Ten • 25741 implied HN points • 22 May 25
🇺🇸 U.S. Politics Charity Aid Regulation Politics Government
  1. USAID funds many charities, but does not give money directly to people. All funds first go through other charitable organizations.
  2. Overheads in charities, like salaries and audits, are necessary for ensuring that donations reach the intended causes. USAID’s overhead is about 30%, which is typical.
  3. Even with some flaws, USAID programs save millions of lives, and concerns about corruption are often exaggerated. Many charity workers genuinely strive to help others.

Permit Me One Maudlin Anecdote

Bet On It • 538 implied HN points • 25 Jun 25
🇺🇸 U.S. Politics Immigration Refugees Social Issues Moral Philosophy Family Dynamics
  1. Emotions can give us new perspectives. Sometimes feeling empathy can help us see the struggles of others, especially those in tough situations like refugees.
  2. It's easy to judge others based on how we feel about our own problems. But comparing our struggles to those facing war or displacement can shift our view from self-pity to compassion.
  3. Understanding the refugee experience might make us rethink our responses. Instead of anger or blame, we should respond with sympathy for people fleeing danger.

The Great Disappearing Trans Freakout

TK News by Matt Taibbi • 12067 implied HN points • 20 Jun 25
🇺🇸 U.S. Politics Trans rights Supreme Court Political Debate Public Opinion Cultural Issues
  1. The Supreme Court's recent ruling may signal a shift in how transgender issues are viewed in America, suggesting this controversy might be fading in political significance.
  2. There has been a lot of confusion and language policing around transgender discussions, making it difficult for people to express their opinions without being labeled negatively.
  3. Some political figures are facing backlash for voicing nuanced opinions on transgender rights, highlighting a divide in how people think about these topics within the Democratic party.

Walk Away

Points And Figures • 1279 implied HN points • 01 Mar 25
🇺🇸 U.S. Politics Negotiation Leadership Communication Political strategy Conflict resolution
  1. In negotiations, it's important to be willing to walk away if the terms aren't right for you. This shows that you have confidence and won't settle for less than you need.
  2. Understanding the other side's perspective and reading the situation correctly can help you negotiate better. It's crucial to know who the decision-makers are during the process.
  3. Sometimes, negotiations can drag on too long, and if you sense it's not going well, it might be smart to walk. Trust your instincts and don't be afraid to bail if the deal feels wrong.

Why people are burning Waymos

Taylor Lorenz's Newsletter • 1881 implied HN points • 09 Jun 25
🇺🇸 U.S. Politics Protests Tech Media Culture Public Opinion
  1. Waymo vehicles were burned during protests in Los Angeles, showing strong feelings about immigration issues. People were angry enough to damage these self-driving cars as a form of expression.
  2. The situation highlights a growing connection between technology and social movements. It reflects how tech can be involved in protests and public sentiments.
  3. Various groups, including tech people and the media, reacted to these events on social media. This shows how quickly information spreads and the importance of online platforms in shaping narratives.

How Long Will Trump’s Winning Streak Last? Plus…

Common Sense with Bari Weiss • 969 implied HN points • 01 Jul 25
🇺🇸 U.S. Politics Elections Government Policies Foreign affairs Political Commentary
  1. Trump is currently experiencing a good streak in his presidency, with successful policies and international agreements. However, politics can quickly change, so he needs to stay prepared for challenges ahead.
  2. Understanding Trump's foreign policy approach, he focuses on protecting American interests without being overly involved globally. He prefers allies who can defend themselves instead of relying too much on the U.S.
  3. Socialism is popular among some young people today, but it's important to recognize the potential downsides. Real-life experiences, like long waits at government offices, can highlight the inefficiencies of a government-run system.

Shah Shah a Come Come

Wrong Side of History • 284 implied HN points • 21 Jun 25
🇺🇸 U.S. Politics Foreign Policy Political theory Cultural Commentary Historical Analysis Current Events
  1. Iran's current regime is using old plans from the Shah's time for their nuclear program, but it hasn't achieved much yet. Many Iranians still feel a sense of nationalism despite their discontent with the government.
  2. There's a notion that society's challenges should be addressed with stability in government rather than just pushing for democracy. A monarchist approach could offer long-term solutions instead.
  3. London has a mix of wealth and poverty, and many people are leaving for other areas in search of opportunities. This shift is changing the cultural landscape, making London feel less connected to the rest of the UK.

Label Makers

Doomberg • 6000 implied HN points • 05 Jun 25
🇺🇸 U.S. Politics Legislation Judiciary Environmental
  1. Some lawmakers want to put warning labels on gas pumps about air pollution and climate change, similar to cigarette warnings. This shows an effort to inform the public about the impacts of fossil fuels.
  2. California's Proposition 65 has led to thousands of lawsuits over product warnings, causing businesses to spend a lot of money just to avoid legal trouble. Many labels are now on products to prevent lawsuits rather than to inform consumers.
  3. The legal system's power can sometimes hurt businesses and stifle innovation. There's a feeling that it might be time to make changes to help businesses grow better.

The Trumpanyahu Administration

Caitlin’s Newsletter • 1872 implied HN points • 01 Jul 25
🇺🇸 U.S. Politics Government Elections Foreign Relations Civil Rights Legislation
  1. The relationship between Trump and Netanyahu seems very close, with Netanyahu visiting the White House frequently. It almost feels like he has a special place in the administration.
  2. There's a contrast in how the U.S. addresses free speech—like denying entry to artists for their views—compared to how it interacts with Israel's legal matters. This raises questions about consistency in values.
  3. The U.S. appears willing to intervene in Israel's internal issues, especially around Netanyahu's corruption trial, while being hands-off regarding Israel's actions in conflict. This shows a strong bond between the two governments.

Politics as Making Hardwood Furniture with Dull Tools: Mamdani's NYC Primary Win Is Not a Win, But Only an Uncertain High-Stakes Bet

Brad DeLong's Grasping Reality • 192 implied HN points • 26 Jun 25
🇺🇸 U.S. Politics Elections Coalitions Political strategy Campaigns Political theory
  1. The Democratic primary doesn't really matter; it's just practice before the real election. Understanding this can help build better teams and avoid mistakes.
  2. Winning a primary is not the same as winning the general election. It's important to think about if the chosen candidate can actually win and do good things if elected.
  3. Politics is about creating connections and rallying support. Success comes from believing in new possibilities and building a team that represents diverse backgrounds and needs.

Pervy Voters

Magic + Loss • 516 implied HN points • 30 Oct 24
🇺🇸 U.S. Politics Elections Voting Political Behavior Political Commentary Party Politics
  1. Some voters make choices just to be rebellious, not because they truly believe in a candidate or party. They might want to shock people or go against the norm.
  2. Voting is usually about practical interests, like money or personal benefits, rather than just trying to be edgy or nonconformist.
  3. Spite can drive people to vote against their own values or interests, which can have serious consequences for democracy.

Practice Small, Daily Acts Of Sabotage Against The Imperial Machine

Caitlin’s Newsletter • 2696 implied HN points • 30 Jun 25
🇺🇸 U.S. Politics Government War Media Public Opinion Social justice
  1. Do something small every day to challenge and change how people see powerful systems and institutions. It can be as simple as sharing information or sparking conversations.
  2. Help others see the negative impacts of governments and powerful groups on daily life. Point out the lies and manipulations to foster a clearer understanding of reality.
  3. Collectively, we can work toward a better society by opening each other's eyes to the truth. Even small acts can contribute to major change when done together.

What Did We Expect Would Happen?

The Honest Broker Newsletter • 2365 implied HN points • 18 Jun 25
🇺🇸 U.S. Politics Political Science Public Policy Partisanship Higher education
  1. Over the years, science has become very political in the U.S., with both major parties using it to gain power. This shift means scientists and universities are often seen as part of the political fight instead of neutral sources of knowledge.
  2. Democrats have begun to support science more because it helps their wealthy, educated voters, while Republicans have moved away from it, positioning it as elitist. This division creates a big gap in how each side views scientific authority.
  3. Many scientists have chosen sides in these political battles, which hurts the public's trust in science. The original idea that science benefits everyone, regardless of their political views, has been largely forgotten.

Top Links 775 America's data disaster is here. Bimodal oil prices. Defending Angela Merkel and what is wrong with Ford engines.

Chartbook • 500 implied HN points • 20 Jun 25
🇺🇸 U.S. Politics Political Commentary Economic Analysis Public Policy
  1. America is currently experiencing serious issues with data collection and analysis. Reducing the sample size compromises the quality of information we get from surveys.
  2. Oil prices are showing a bimodal pattern, meaning there are two different price levels currently affecting the market. This could indicate some instability or shifts in oil supply and demand.
  3. There are discussions about Angela Merkel's legacy and her political decisions. Some people are defending her while others are criticizing certain policies, like those related to the automotive industry.

Progressives take their best shot at Abundance (but it falls short)

Noahpinion • 14588 implied HN points • 17 Jun 25
🇺🇸 U.S. Politics Policy Analysis Progressivism Regulation Economic Theory Political critique
  1. Critics of the book 'Abundance' often haven't read it and misunderstand its ideas. Instead of addressing the arguments, they focus on insulting the authors.
  2. The backlash against 'Abundance' seems to stem from its author Ezra Klein's influence rather than the book's actual content. Some progressives feel threatened by a shift in focus towards empowering the government.
  3. One critic, Sandeep Vaheesan, does engage with the book but misinterprets its core arguments. He points out that while 'Abundance' suggests empowering the government, it doesn't clearly outline the specific actions needed to achieve that.

What I Got Wrong On Defunding Police

The Discourse Lounge • 1975 implied HN points • 15 Jun 25
🇺🇸 U.S. Politics Policing Gun Control Civil Rights Public Safety Policy Reform
  1. Automated traffic enforcement can reduce the need for police interactions. It uses technology to manage traffic violations more effectively and safely.
  2. Gun violence is heavily tied to police aggression in the U.S. Reducing the number of guns could lead to fewer violent encounters with law enforcement.
  3. Creating non-police roles for certain tasks can lessen police burden and improve community safety. Investing in social services can help address root issues instead of relying solely on police.

Trump's civil war

Thinking about... • 1136 implied HN points • 12 Jun 25
🇺🇸 U.S. Politics Election Government Civil Rights Political Rhetoric History
  1. Trump is trying to change the military's role from protecting the country to controlling the people. He wants soldiers to act against American citizens instead of defending democracy.
  2. His speeches suggest that the past military victories are being used to justify future actions that aren't legal. Trump is encouraging soldiers to follow him personally rather than the Constitution.
  3. By calling migration an 'invasion', Trump is mixing ideas of war and policy, aiming to create an enemy within the country. This could lead to dangerous situations where soldiers might harm their fellow citizens.

Here Comes The 2020 Playbook Again!

Emerald Robinson’s The Right Way • 3710 implied HN points • 24 Oct 24
🇺🇸 U.S. Politics Elections Voting Media Political issues Government
  1. Media is warning about delayed election results again, just like in 2020. This raises concerns about the voting process.
  2. Certain states consistently struggle to count votes quickly, which leads to suspicions about their election integrity.
  3. Voters are already experiencing issues with voting machines, raising more doubts about the fairness of the elections.

Netanyahu Says It's Antisemitic For Israeli Soldiers To Describe Their Own Atrocities

Caitlin’s Newsletter • 3772 implied HN points • 28 Jun 25
🇺🇸 U.S. Politics Government Policy Campaigns Elections Military
  1. Israeli leaders are saying it's antisemitic for soldiers to talk about the bad things they did in Gaza. This is a strong reaction to reports that claim Israeli soldiers were ordered to shoot at unarmed civilians.
  2. Soldiers shared their experiences of being told to use lethal force on people seeking humanitarian aid. They said there was no real danger, yet they were ordered to fire on unarmed crowds.
  3. The Israeli government is defending its military by calling these reports false and harmful. They argue that the claims aim to damage the reputation of the Israeli Defense Forces, which they consider very moral.

Zelensky’s hostility to peace triggers White House meltdown

Aaron Mate • 700 implied HN points • 02 Mar 25
🇺🇸 U.S. Politics Foreign affairs Diplomacy Military Aid International Conflict
  1. Zelensky showed anger towards US leaders when they suggested negotiating peace with Russia. He insisted there would be no compromises, showing a strong unwillingness to consider diplomacy.
  2. Zelensky has made misleading statements about his interactions with Putin, claiming agreements were ignored when in fact there were some exchanges. This raises questions about his commitment to peace.
  3. The recent conflict between Zelensky and US leaders indicates a shift in US support. There's a growing concern that Zelensky's approach may not be beneficial and could impact the future of Ukraine's relations with the US.

Your Emotional Support Historian

Campaign Trails • 4844 implied HN points • 23 Oct 24
🇺🇸 U.S. Politics Elections Predictions Polling Political History Campaigns
  1. Historians are trained to look back at events, not predict the future. They often find it tricky to offer reassurance during election seasons.
  2. Making confident predictions can lead to embarrassment, as history shows many past predictions were wrong. This causes historians to be cautious when discussing possible outcomes.
  3. Predictions about elections are often unreliable and should be taken with a grain of salt. The best approach is to focus on getting people to vote rather than getting caught up in the predictions.

Uh-Oh! Political Antisemitism Smears Have Stopped Working!

Caitlin’s Newsletter • 2887 implied HN points • 29 Jun 25
🇺🇸 U.S. Politics Elections Political Discourse Social movements Identity politics Public Opinion
  1. Antisemitism accusations seem to be losing their effectiveness in politics. This is seen with the recent success of a pro-Palestinian candidate in New York City.
  2. There is a noticeable increase in public anti-Muslim sentiment, which highlights a troubling shift in discourse. This can be linked to the political landscape and global events.
  3. Criticism of Israel is becoming more accepted in America. Some believe that pressing these issues may help prevent a potential conflict with Iran.

Democrats should not be kissing up to Musk

Taylor Lorenz's Newsletter • 3164 implied HN points • 06 Jun 25
🇺🇸 U.S. Politics Political parties Electoral Politics Public Policy Political Commentary Media influence
  1. Democrats should think carefully before welcoming Elon Musk back into their fold. His actions and views may harm the party's credibility in the long run.
  2. Trying to make alliances with rich and controversial figures like Musk can make voters feel like the party stands for nothing important.
  3. Musk is mainly looking out for himself, and cozying up to him may not be a smart move for progressive leaders.

THE SHOW NOTES: Trump at MSG, The Disturbing Ad, & Nick Bosa

Erick Erickson's Confessions of a Political Junkie • 1179 implied HN points • 28 Oct 24
🇺🇸 U.S. Politics Political Events Elections Public Opinion Media influence Political Commentary
  1. Donald Trump held a big rally at Madison Square Garden with many well-known guests. Some people were not happy with a comedian's controversial jokes at the event.
  2. The Israeli military attacked Iran's air defense systems as part of a response, but they chose not to target major facilities like nuclear sites after pressure from the U.S.
  3. Kamala Harris is pushing for changes in how female leaders are described in reports, but an internal review found no significant bias in the language used.

Ayaan Hirsi Ali: Glastonbury and the Purge of the Jews. Plus. . .

Common Sense with Bari Weiss • 1126 implied HN points • 30 Jun 25
🇺🇸 U.S. Politics Supreme Court Trump Political Movements Music festivals
  1. At Glastonbury, a major music festival, anti-Israel chants were heard, raising concerns about rising hate against Jews. This incident reflects a bigger movement that aims to cleanse culture from Jewish presence.
  2. The Supreme Court made a significant ruling recently that impacts nationwide injunctions, which could benefit Trump's agenda. This decision has been met with both praise and criticism, highlighting a divide in opinions about its implications.
  3. Arthur Brooks shared insights on living a good life, discussing how happiness is linked to both personal experiences and societal factors. His take on the differences in happiness between liberals and conservatives stirred interesting conversations.

TGIF: The People’s Republic of Manhattan

Common Sense with Bari Weiss • 2596 implied HN points • 27 Jun 25
🇺🇸 U.S. Politics Elections Legislation Campaigns Political Figures Social Issues
  1. Zohran Mamdani is running for mayor of New York City and has gained attention for his unique campaign style. His approach combines humor and social media, reminiscent of Trump's marketing tactics.
  2. Despite having a privileged background, Mamdani's campaign portrays him as an outsider challenging the political establishment. He has proposed policies like free buses and rent freezes, aiming to appeal to the public's desire for change.
  3. Mamdani's election reflects a broader shift in New York politics, with moderate Democrats feeling uneasy about his progressive stance. His charismatic campaigning is seen as a potential game-changer for the city's future.

Harris's Bold Miscalculation

Erick Erickson's Confessions of a Political Junkie • 3397 implied HN points • 24 Oct 24
🇺🇸 U.S. Politics Elections Campaigns Political parties Public Opinion Legislation
  1. Democrats may have misjudged the election by not toning down their extreme views. They felt they could win just by being anti-Trump without appealing to moderates.
  2. Kamala Harris has stuck to her bold positions on issues like abortion and trans rights, which some believe could hurt her in the election. Instead of showing flexibility, she's chosen to dig in her heels.
  3. There are Republicans who oppose both candidates but feel that after Trump, those who supported Harris will have no influence in the GOP. They think Harris's supporters will be left out of future party decisions.

At least five interesting things: Anything but protests edition (#65)

Noahpinion • 19765 implied HN points • 11 Jun 25
🇺🇸 U.S. Politics Government Economy Energy Manufacturing Trade
  1. The U.S. government is actually pretty efficient, which surprises many tech workers. They often expect to find lots of waste, but instead find hard-working employees.
  2. Solar power is becoming a major energy source in the U.S. and can meet a big chunk of electricity demand, especially when combined with batteries for storage.
  3. Americans are getting richer again after the 2008 financial crisis and housing crash, as housing prices rise and household debt decreases.

Did You Know History Would Be Different If Zelensky Had Worn A Tie?

Phillips’s Newsletter • 195 implied HN points • 04 Mar 25
🇺🇸 U.S. Politics Conservatism Trump Foreign Policy Intellectualism
  1. Zelensky's choice of clothing, like wearing a tie, is humorously suggested to have impacted US support for Ukraine. This argument is seen as silly since US policy shifts started before his meeting with Trump.
  2. The current state of conservative thought in the US is viewed as weak, overly focused on pleasing Trump rather than engaging in genuine debate. Many conservatives are criticized for making unreasonable arguments to avoid facing uncomfortable truths.
  3. The article points out that the intellectual depth of the conservative movement has been in decline, which is symbolized by blaming Zelensky for Trump's issues instead of holding Trump accountable.

Andrew Sullivan Calls on Rachel Levine to Resign Over Trans Children Research Coverup

The Take (by Jon Miltimore) • 812 implied HN points • 29 Oct 24
🇺🇸 U.S. Politics Health Policy Transgender Issues Legal issues Public Opinion Government Accountability
  1. A significant number of minors have undergone gender transition treatments in recent years, which raises concerns about the long-term effects on their health and wellbeing.
  2. There are serious doubts about the informed consent process for young children undergoing major surgical procedures, as they may not fully understand or appreciate the consequences.
  3. Critics argue that political motives have influenced health policies regarding transgender care for children, with calls for accountability from those involved in these decisions.