• First, fight tooth and nail against covering transgender care with Medicaid. Medical licensing is handled at the state level, so start going after their licensing of doctors who promote transitioning children.
  • Second, create a registry for patients to lodge complaints against “transition” doctors, like we do for sex offenders or like New York City does for landlords.
  • Make quack transition doctors into actual sex offenders, and create entirely new crimes like “child mutilation” to describe their actions. -Sharply increase a doctor’s liability exposure for any patient who later regrets the procedure they received. If post-transition regret and detransitioning is so rare, there should be no problem with putting doctors on the hook for six or seven-figure payments if their patients decide what happened to them as children was a mistake.
  • Go after their malpractice insurance. Already, many states ban insurance coverage for certain kinds of conduct, like fraud. Malpractice insurers should be allowed to protect good faith providers of mainstream medical care — but there should be no coverage for pediatric trans “therapies.” Or, go the other way: require the doctors to carry huge amounts of malpractice insurance, to shave away at their profit margins.