Hello friends,
This was a heavy week, to live and write about. So I'm skipping the warm-up life update and getting right to it.
On September 30, Elon Musk replied to a video of a speech calling for gender-affirming surgery to be made a crime: "Those who mutilate children should receive a death sentence." It's the second time this year he's said it. This time it reached more than 700,000 views on the platform he owns, and it was not just rhetoric. Replies underneath suggested he fund politicians to make it law. Providers of this care have already been buried in death threats. Some have shut their doors because of them.
So I want to ask you directly: how does this land for you? If you provide this care, or work beside people who do, has this week changed how you think about your safety, your practice, your staff, your patients? And what are you going to do about it, this week and this month?
Hit reply and tell me. Your reply goes straight to my encrypted inbox in Vivaldi, and I read every one. I want to know how you’re receiving this news.
One more thing: the payment for my stay in Mexico City during the WPATH Symposium came due October 1. It’s $9,150 MXN, around $500 USD. If you’ve been meaning to chip in to fund my reporting of the largest international transgender health conference in the world, now is the time.
Your support gets me into sessions like:
Beyond the Binary: Muxe Identity, Indigenous Knowledge, and the Future of Gender-Affirming Care, centering the Muxe community of Oaxaca
Care Under Crossfire: A WPATH Ethics Session
The Impact of Colonization on the Trans Community
Why Is Trans Healthcare Illegal in the U.S.
Methodological Drift in Youth Gender Care Policy
Indigenous, Aboriginal, and Decolonial Approaches to Trans Health
I’m so excited to bring what I learn to you, readers. I will be producing new articles for the newsletter again in 2027 and expect to fill my content calendar for the year with data, interviews, and collaborations featuring WPATH presenters.

United States
Dozens of protesters with ACT UP New York and the Gender Liberation Movement picketed NewYork-Presbyterian Thursday, alleging the hospital quietly stopped accepting new minor patients and warning it not to follow NYU Langone and Mount Sinai into a paid deal with the administration. Four New Hampshire families sued HHS in federal court to protect their daughters' puberty blockers before Medicaid and CHIP funding cuts take effect October 13. At the Second Circuit, Aetna defended its categorical exclusion of facial gender-affirming surgery as "cosmetic," appealing a Connecticut injunction that found trans patients likely entitled to individualized medical-necessity reviews under Section 1557.
After 14 months offline, the 988 Lifeline's LGBTQ+ youth "Press 3" option returned without the Trevor Project, and asked whether counselors will use trans callers' names and pronouns, HHS answered only with its "gender ideology extremism" line. The Education Department formally rescinded the 2024 rule and restored the 2020 Title IX framework, stripping explicit gender identity and sexual orientation protections from federal regulations.
Nearly 100 community HIV-prevention organizations lost their federal grants as the administration redirected Ending the HIV Epidemic dollars to health departments under no requirement to pass funding through, stripping those groups of 340B eligibility on top. Senate Leadership Fund ads accusing Sherrod Brown of "forcing" childhood surgeries feature a detransitioner who isn't from Ohio and had her mastectomy at 19, in Texas.
A new Movement Advancement Project report charts anti-queer extremism's acceleration and its tight focus on trans people, while MAP's state equality maps track where those policies have landed.
International
In the UK, the equalities minister doubled down on trans exclusion from single-sex spaces at Labour's conference as advocates pressed for provisions for trans survivors of abuse. Far-right activists from the U.S. and Latin America, backed by current and former Trump officials, are building a UN coalition to counter the LGBTI Core Group and coordinate votes against sexual and reproductive rights.
Gilead's lenacapavir licensing shuts out at least 26 countries from roughly $40-a-year generics, including Mexico, Brazil, Argentina, and Peru, while MSF says it still can't buy the drug directly.

Push your medical society — The Colorado Medical Society's board voted to oppose Initiative 110, the anti-trans surgery measure on November's ballot, on the principle that medical decisions belong in the exam room, and every state society facing a similar measure can take the same stand.
Back a national ban — A conversion therapy survivor's petition asks Australia's federal government for a nationwide ban that rules out "informed consent" and "sustained effort" loopholes, since protections now depend on which state you live in.
Bring the Bill home — Lambda Legal's new LGBTQ+ Bill of Rights pairs its lawsuits with model state legislation on health, education, family, and democracy, starting in 20 states, with organizing resources rolling out through October.

New Poll From The 19th News Shows Public Turning Against Republican Anti-Trans Healthcare Bans — Erin in the Morning — New polling finds support for care bans slipping, even among Republicans.
What's behind HHS claims that gender-affirming care 'may' radicalize — NPR — Political violence researchers take apart an HHS report that ties support for gender-affirming care to "left-wing authoritarianism."
Study links exposure to anti-trans content with mental health harms — ABC News (Australia) — A survey of 807 trans and gender-diverse Australians ties frequent exposure to anti-trans media with higher rates of anxiety, self-harm, and suicide planning.
Multiple studies show a "considerable" decline in young people identifying as LGBTQ+ — LGBTQ Nation — Coverage of contested survey data from a University of Buckingham center and the CDC, where fewer young people saying they're queer may not mean fewer young people who are.

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That's it for this week — reply anytime, and I'll see you next Monday.
BJ Ferguson
Founder, Well Beings News
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