How The Supreme Court Just Failed Trans Youth | Crooked Media
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June 18, 2025
What A Day
How The Supreme Court Just Failed Trans Youth

In This Episode

The Supreme Court is staying busy with decisions. The High Court issued a 6-3 ruling on Wednesday in United States v. Skrmetti, upholding a Tennessee law that banned gender-affirming care for transgender minors. Leah Litman joins us to unpack what affect the court’s ruling will have on Tennessee and a slew of other states across the country. Litman is the author of the recent NYT Best Seller “LAWLESS: How the Supreme Court Runs on Conservative Grievance, Fringe Theories, & Bad Vibes” and a host of Crooked Media’s “Strict Scrutiny”.
And in headlines: Democrats refused to participate in a Senate Judiciary Committee hearing that looked into the mental fitness of former President Joe Biden, Medicare and Social Security’s trust funds are running out of money, and President Trump is still deciding if the US will insert itself into the Israel-Iran conflict.
Show Notes:

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TRANSCRIPT

 

Erin Ryan: It’s Thursday, June 19th. Happy Juneteenth. I’m Erin Ryan in for Jane Coaston, and this is What a Day, the show that saves you time by restricting its Karen Reed murder trial acquittal coverage to this episode’s introduction and conclusion only. [music break] On today’s show, Senate Republicans are focusing on the most pressing issue, what happened when Joe Biden was president. Meanwhile, President Donald Trump is keeping America guessing about where his head is when it comes to possible U.S. involvement in Israel’s military action against Iran. 

 

[clip of President Donald Trump] I mean you don’t know that I’m going to even do it. You don’t know, I may do it, I may not do it I mean nobody knows what I’m gonna do, I can tell you this that uh… 

 

Erin Ryan: That’s where we’re at as a country. Our president is trying to get cute with war teasers. Let’s start with the Supreme Court. On Wednesday morning, the Supreme court handed down a ruling in the United States versus Skrmetti. The six to three ruling split along ideological lines upheld a Tennessee law that banned gender affirming care for transgender minors. Here’s NBC reporting on the news when it broke. 

 

[clip of unnamed NBC journalist] Good morning, we are coming on the air with breaking news from the U.S. Supreme Court, a decision on the fate of a law that restricts access to hormone therapy and other health care for minors going through a gender transition. The high court just now allowing a Tennessee law that bars such gender-affirming care to stand. 

 

Erin Ryan: Justice Sonia Sotomayor issued her dissent on the ruling from the bench, a rare move, and expressed sorrow for the implications of this case on the lives of trans kids and their families. By upholding the Tennessee law, the court also implicitly upheld similar bans in 24 other states. Joining me to parse what all this means is Leah Litman. Leah is the author of the New York Times bestseller Lawless, how the Supreme Court runs on conservative grievance, fringe theories and bad vibes. And is a host of the Crooked Media podcast, Strict Scrutiny. Leah Litman, welcome back to What a Day. 

 

Leah Litman: Thank you for having me. 

 

Erin Ryan: So the case that we are going to talk about was the US versus Skrmetti, who brought it and at its core, what was at issue? 

 

Leah Litman: So the case was filed by the parents of transgender minors challenging a Tennessee law that prohibited individuals from accessing certain treatment to treat gender dysphoria. It’s captioned as United States versus Skrmetti because during the Biden administration, the federal government intervened in the case to participate on the side of the parents of the transgender minors. So agreeing that this Tennessee law was unconstitutional. The Supreme Court decided whether laws like Tennessee’s that ban gender-affirming care trigger what’s called heightened scrutiny. Basically, do they require courts to look carefully at the law, scrutinize its purposes and its effects, or whether instead courts should basically just defer to the legislature and kind of say anything goes as long as you have a remotely plausible reason for this law. And unfortunately, they decided this law falls into the second category of just straight deference. 

 

Erin Ryan: Um and Tennessee’s law punished providers as well. Can you walk us through what was at stake for them? 

 

Leah Litman: Yeah, so like many health care bans, it imposes penalties on the doctors and providers to deter the provision of care. You know this is, of course, similar to the abortion restrictions that target doctors, nurses, and providers. And I think that the specter of penalties has a real chilling effect, both in the context of gender-affirming care as well as in the contest of abortion restrictions. Because given the extent to which these states are kind of foaming at the mouth to go after individuals who are providing care for the LGBT community, or women who do not want to be pregnant, or who cannot be pregnant. Um. There are real concerns that, again, states would push the limits of these laws and target providers if they come even close to running afoul of the restrictions. 

 

Erin Ryan: So let’s talk about the reasoning that the justices deployed here. 

 

Leah Litman: It’s bullshit. 

 

Erin Ryan: So even a quick reading. Yeah great. Alright. End of interview. Um. Even a quick reading of the decision shows the court was circling around questions of sexual identity and whether the state of Tennessee could restrict medications and procedures to that help with gender-affirming care that was allowed for other purposes. Like what did they say about that ultimately? 

 

Leah Litman: So the court said two things. One, they said this law does not discriminate on the basis of sex. That doesn’t make any sense. This law literally mentioned sex 19 times. And still the Roberts majority said, well, that doesn’t make it a sex classification. Also the law allows you know cis youth to obtain some healthcare treatments that trans youth couldn’t. That is, it distinguishes based on sex assigned at birth. That also didn’t seem to matter. And then I think in some ways even more outlandishly, the court said this law does not even discriminate on the basis of gender identity, that is it doesn’t even discriminate against trans kids because even though the group that is negatively impacted by the law includes only trans kids, it’s still the case that trans kids and cis kids can access hormones and puberty blockers for other reasons besides treating gender dysphoria. And that somehow makes it not discrimination on the basis of gender identity. It’s super tortured and convoluted logic that basically threatens a lot of the legal protections against discrimination, but that was their explanation. 

 

Erin Ryan: Hmm. Okay, that sounds troubling. Beyond that, what struck you most? Beyond that what struck you about Chief Justice Roberts’ majority opinion? Is there anything else that immediately set off alarm bells for you? 

 

Leah Litman: Well, other than that, Mrs. Lincoln, um no, you know I think that the only thing else I would say about the majority opinion is in order to reach these really wild conclusions, the Robert’s majority opinion had to revive these very archaic and outdated cases on sex discrimination that had upheld laws that discriminated on the basis of pregnancy reasoning that that wasn’t sex discrimination and in any case it reflected biological differences and biological realities. And that harkens back to a time and a kind of logic that just excused and justified sex discrimination on the basis of biological differences. And so by bringing back those cases and that logic, I think the court has signaled the legal protections against sex discrimination are in real jeopardy. 

 

Erin Ryan: The three dissenting justices were Justice Sonia Sotomayor, Justice Ketanji Brown-Jackson, and Justice Elena Kagan. What issues did they raise? 

 

Leah Litman: Basically everything, um you know, Justice Sotomayor said, this is an easy case. The law explicitly mentioned sex. That is a sex classification. Also, obviously this law discriminates on the basis of gender identity. It literally prohibits treatments for gender dysphoria and other conditions that are so inextricably bound up with what it means to be transgender and to have your gender identity not aligned with your sex assigned at birth. So the concluding passages and opening passages of the dissent were really notable. She accused the majority of abandoning judicial review exactly where it was needed and leaving trans kids and their families to political whim. And yeah, it was just a powerful dissent on a very sad day. 

 

Erin Ryan: Leah, it sounded like you could see this being a Trojan horse for taking on other protections against discrimination. Can you go into that a little bit more? 

 

Leah Litman: When the court is citing these old cases that upheld laws that discriminated against pregnant people. What the court is saying is, look, there are certain biological differences between men and women that allow states, maybe the federal government and legislatures, to treat men and women differently. The court had, until recently, basically abandoned that kind of logic. So in an earlier sex discrimination case, United States versus Virginia, Justice Ginsburg wrote an opinion that rejected Virginia’s argument that the biological differences between men and women allowed the state to adopt a flat-out ban on women matriculating at the Virginia Military Institute, VMI. And so I think the concern is if you revive this idea that there are these inherent biological differences between men, and women, and that is somehow distinct from sex, or it justifies sex discrimination, you are providing a real blueprint for all kinds of laws that treat men and women differently. And it’s not going to be surprising to everyone that when you treat men and women differently, it’s usually the women who are faring less well. 

 

Erin Ryan: Okay, so now what? What is gonna change for the families seeking trans care in Tennessee for their kids? And and what’s gonna happen in other states that have similar bans and punishments for providers on the books? 

 

Leah Litman: So I think the unfortunate reality is in Tennessee and in states with laws similar to Tennessee, these bans on gender-affirming care are going to go into effect. And that is catastrophic for families with transgender individuals who are part of them because you are depriving individuals of care that has been described as lifesaving, health-saving, you know that preserves their ability to go out in society as they are. You know if you’re looking for an upside, I would say two things. One is the majority opinion did not reason as broadly as it could have. In particular, it did not decide the question of if a legislature adopted a law that singled out transgender individuals as such, would that law trigger heightened scrutiny and require more careful review? Now, the concerning thing is Justice Barrett, together with Justices Thomas and Alito, wrote that even if a law did that, even if it specifically targeted trans individuals, they too would give that considerable deference and not subject it to meaningful scrutiny. So that’s not especially heartening for what the court would say in the event that issue came to them in the future. Also put down those Amy Coney Barrett as a secret moderate liberal who’s gonna save us takes, please. Um. You knw the second thing I would say is it is clear that the justices are heavily influenced by the cultural milieu and society they are a part of. And I think that should give us all agency to shape the narrative around transgender rights and fight back against the bad faith attacks on them and efforts to depict you know transgender rights as somehow illegitimate or problematic. And so I think we should all recognize that and fight back against some of these false narratives about the fight for transgender rights. 

 

Erin Ryan: So let’s talk about how this will kind of have a practical application moving forward. If we look at the abortion issue, for example, the Dobbs v. Jackson decision led to a patchwork of regulations where women can’t get abortions in some states and lawmakers have attempted but have so far not succeeded in restricting their travel to other states. And then there’s other states that allow abortion and even assist non-residents who seek it and try to block the prosecution of those people. Like, it’s a big old mess. Will this case about gender care for minors lead to a similar situation for trans youth and their families?

 

Leah Litman: Yes, absolutely. And honestly, states have been even more aggressive at trying to limit families’ ability to cross state lines to obtain gender-affirming care. Some states have attempted to label that child trafficking or trafficking, which is just outlandish and horrifying. But yes, this is absolutely going to create a patchwork of protections where not all states are going to ban gender-affirming care, some will, and some will even go a step further and try to prohibit residents of their own state from obtaining care elsewhere. 

 

Erin Ryan: Well, that is a bleak note to end on, but alas, we are out of time. Leah Litman, thank you so much for joining us. 

 

Leah Litman: Thanks for having me. 

 

Erin Ryan: That was my conversation with Leah Litmon, author of Lawless, How the Supreme Court Runs on Conservative Grievance, Fringe Theories, and Bad Vibes, and a host of the Crooked Media Podcast, Strict Scrutiny. We’ll get to more of the news in a moment, but if you like the show, make sure to subscribe, leave a five-star review on Apple Podcasts, watch us on YouTube, and share with your friends. More to come after some ads. [music break]

 

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Erin Ryan: Here’s what else we’re following today. 

 

[sung] Headlines.

 

[clip of unnamed journalist] Have you [?] answer questions about uh whether you are moving closer or you believe the U.S. is moving closer to striking Iranian nuclear facilities? Where’s your mindset on that? 

 

[clip of President Donald Trump] I can’t say that, right? You don’t seriously think I’m going to answer that question. Would you strike the Iranian nuclear component? And what time exactly, sir? Sir, would you strike it? Would you please inform us so we can be there and watch? 

 

Erin Ryan: There you have it. The commander in chief of the United States of America playing a will he or won’t he game on the White House lawn with the possibility of striking Iran’s nuclear sites. And President Trump kept at it all day Wednesday as Israel and Iran continued to fight. He told reporters in the Oval Office, I like to make a final decision one second before. He has that in common with my three year old. He also said this about Iran. 

 

[clip of President Donald Trump] And they want to meet, but it’s you know a little late to meet. But they want to meet, and they want to come to the White House. They’ll even come to the White House, and we’ll see. I may do that. 

 

Erin Ryan: If you feel uneasy, you are not alone. Iran’s supreme leader on Wednesday rejected Trump’s calls for an unconditional surrender. He also warned that any U.S. military intervention would be met with, quote, “irreparable damage.” Oh boy, Israel started attacks last week claiming an effort to wipe out Iran’s nuclear program. Iran retaliated and hundreds of people have been killed in the back and forth. In an urgent notice, U.S. Ambassador to Israel Mike Huckabee said the U.S. is working to evacuate American citizens who want to leave Israel. This is where we are at 5 p.m. Pacific on Wednesday. Where we’ll be tomorrow morning, we don’t know. Democrats refused to participate in a Senate Judiciary Committee hearing Wednesday called unfit to serve. Ooh, who’s unfit to serve? The hearing looked into an alleged coverup of former President Joe Biden’s mental decline during his time in office. The only Democratic senators who attended were Dick Durbin of Illinois and Peter Welch of Vermont. Durbin chastised committee Republicans for neglecting to investigate other issues. He cited the assassination of a Minnesota state lawmaker. President Trump’s deployment of the military against protesters in Los Angeles, and the recent handcuffing of a U.S. senator during a Homeland Security press conference. 

 

[clip of Senator Dick Durbin] But instead of exercising this constitutional oversight duty, my Republican colleagues are holding this hearing. Apparently, armchair diagnosing former President Biden is more important than the issues of grave concern which I have mentioned. 

 

Erin Ryan: After that, Durbin headed for the door. Senator Welch also left, saying the hearing wasn’t relevant to his constituents. As for the Republicans, Texas Senator and world’s worst Bill Pullman impersonator Ted Cruz tried calling out Democrats for standing behind Biden during a, quote, “Potemkin presidency.” 

 

[clip of Senator Ted Cruz] For all of their strutting about, protesting that they support democracy. Not a one of them gave a damn about democracy when they pulled Biden off the ballot and dropped Kamala Harris in without a single Democrat primary voter voting for him. And you know what? Not a single democrat is here today because not a single one of them gives a damn about the fact that they lied to the American people for four years. 

 

Erin Ryan: All that Ivy League pontificating can’t hide the fact that Cruz got absolutely wrecked by Tucker Carlson this week. Israeli forces killed dozens of Palestinians in Gaza on Wednesday, including at least 11 who were seeking aid, which brings the number of Palestinians killed while seeking aid to nearly 400 since late May. That’s when the Israel and US-backed Gaza Humanitarian Foundation opened its first distribution center. The controversial group distributes aid using US-based private security contractors. Other humanitarian groups in the region have refused to work with the Foundation. The United Nations High Commissioner for Human Rights has asked for an investigation into the group. And the head of the UN Agency for Palestine Refugees, or UNRWA, also weighed in. He wrote on Twitter, quote, “Inviting starving people to their death is a war crime. Those responsible of this system must be held accountable.” Humanitarian organizations say that the aid currently being allowed into Gaza is only a fraction of what’s needed, and the UN says the region is approaching a potential famine. Medicare and Social Security’s trust funds are running out faster than anticipated, according to a Wednesday report from the program’s trustees. Medicare is expected to be unable to pay full benefits by 2033. And Social Security will have to stop paying full benefits in 2034. Both projections are at least a year sooner than last year’s estimate. The trustees point to declining wages and birth rates and the fact that baby boomers are in retirement. Millennials and younger workers will have to pay for boomer’s care. And they might not make enough to do that. The trustees say Congress needs to act fast or the benefits of more than 60 million Americans could be affected. I’m sure something in Trump’s big, beautiful bill will help though, right? Actually, the biggest, darnedest, best bill doesn’t say too much about the program, but it might let older seniors pay less taxes on Social Security income. Budget hawks say that will hurt Social Security in the long run. And that’s the news. [music break] Before we go, it’s the final week of New York City’s mayoral primary, and on the latest episode of Pod Save the People, host and activist DeRay Mckesson talks to Brad Lander, the city’s controller and a candidate for mayor. Lander was the New York elected official who was handcuffed while trying to steer a man away from ICE officers this week, a moment that speaks to the rising political tensions across the country. Check out their full conversation on Pod Save The People wherever you get your podcasts. [music break] That’s all for today. If you like the show, make sure you subscribe, leave a review, distract yourself from the horrors of the world by closely following a Boston-area murder trial, and tell your friends to listen. And if you’re into reading and not just about how the Dallas Cowboys cheerleaders are getting a 400% raise, like me, What a Day is also a nightly newsletter. Check it out and subscribe at Crooked.com/subscribe. I’m Erin Ryan, and stay off the roads in Camden, Massachusetts. 

 

Jane Coaston: What a Day is a production of Crooked Media. It’s recorded and mixed by Desmond Taylor. Our associate producer is Emily Fohr. Our video editor is Joseph Dutra. Our video producer is Johanna Case. We had production help today from Greg Walters, Matt Berg, Sean Alli, Tyler Hill, and Laura Newcomb. Our senior producer is Erica Morrison, and our senior vice president of news and politics is Adriene Hill. Our theme music is by Colin Gilliard and Kashaka. Our production staff is proudly unionized with the Writers Guild of America East. 

 

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