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Intense Examination: Inside the High-Stakes Supreme Court Battle on Trans Healthcare


The Supreme Court is poised to make a pivotal ruling in the U.S. v. Skrmetti case, which could significantly impact transgender individuals’ access to transition-related care across the U.S. The case challenges a Tennessee law that restricts specific medical treatments for minors, such as puberty blockers and hormone therapy, on grounds of gender discrimination.

A new documentary titled “Heightened Scrutiny” follows ACLU attorney Chase Strangio, who is representing trans youth and their families in the lawsuit against this legislation. In December, Strangio became the first openly trans person to present a case before the Supreme Court. This film, directed by Sam Feder, premiered at Sundance and aims to address the relationship between the media’s portrayal of trans issues and the public’s evolving perceptions.

The documentary features key figures like actress Laverne Cox and journalist Jelani Cobb. It critiques the recent surge in negative media coverage of trans issues, particularly by outlets like The New York Times. Analyst Julie Hollar notes that the newspaper published more articles framing trans people as threats than those highlighting the threats facing trans communities.

Producer Amy Scholder emphasizes the concerning shift from celebrating trans visibility to questioning the rights of trans youth, drawing parallels to the AIDS epidemic’s stigma. The film highlights the invocation of media narratives in legal arguments against transition-related care.

Feder hopes “Heightened Scrutiny” prompts reflection on the implications of laws restricting bodily autonomy, asserting that current trends could lead to broader civil rights erosions, including reproductive rights and privacy. The film serves as both a call to action and a reminder of the interconnectedness of civil liberties.

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