COMMENTING GUIDE: Opposing Two Trump Regime Rules Banning Gender-Affirming Care, Deadline 2/17/26
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Shouldn't Need to Be a Lawyer by Matthew Cortland
January 26
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I. Bottom Line Up Front
The Trump Regime's Centers for Medicare & Medicaid Services (CMS) has published two companion proposed rules designed to eliminate access to gender-affirming care for minors nationwide. Together, these rules would:
Ban hospitals from providing this care (CMS-3481-P) — regardless of how the care is paid for
Prohibit Medicaid and CHIP from covering this care (CMS-2451-P) — cutting off funding for lower-income families
You have the opportunity to help defend trans kids by submitting comments against these vile proposed rules. Because even if a state wanted to continue covering gender-affirming care through Medicaid, the hospital rule would prevent hospitals from providing it. The two rules use different regulatory mechanisms to accomplish the same policy goal: eliminating access to gender-affirming care for anyone under 18 (or under 19 for CHIP).
You should submit your comment to both dockets. The deadline is 5PM ET on February 17, 2026.
Public comment on Dr Oz's proposed rules to ban gender-affirming care for youth closes 2/17
One rule bans hospital-based care, the other eliminates Medicaid/CHIP coverage
Together they'd make care virtually unavailable nationwide, including in shield law states
www.patreon.com/posts/149210...
15.02.2026 19:19 — 👍 530 🔁 470 💬 11 📌 21
Chris Mooney published "The Republican War on Science" in 2005.
15.02.2026 22:04 — 👍 62 🔁 19 💬 0 📌 0
someone asks, "matthew, why are you on patreon, why not substack?" it's the nazis. www.theguardian.com/media/2026/f...
15.02.2026 23:52 — 👍 76 🔁 31 💬 0 📌 2
YouTube video by Kayse Melone
Christian Nationalism vs. Secularism: Who Will Win? - w/Hemant Mehta
I sat for an interview with Kayse Melone about religious "switching," Christian Nationalism, and how atheists are diversifying.
Check it out!
youtu.be/ngw86Fol-i4
16.02.2026 00:50 — 👍 27 🔁 2 💬 1 📌 0
Will it be national news? Will it cause performative outrage? Will he be censured?
Nope. Forgotten by tomorrow.
16.02.2026 01:19 — 👍 10573 🔁 3192 💬 957 📌 376
Nope. I'm nobody. But I'm from California and I listen to what Newsom actually says and does as opposed to what his brilliant social media team posts.
He isn't the one. So if Establishment Dems are behind him and he doesn't change, I'll be a thorn in his side.
16.02.2026 01:22 — 👍 656 🔁 68 💬 56 📌 6
Really wish people in my neck of the woods would pay attention to stuff like this
16.02.2026 01:47 — 👍 891 🔁 232 💬 9 📌 0
Keyword: “relevant.” Translation: nothing to see here.
No one should trust the DOJ to decide what counts as relevant. We all know there are millions of unreleased docs.
🚨 The DOJ says it has released all of its “relevant” records on Jeffrey Epstein, but some lawmakers are demanding more.
16.02.2026 02:43 — 👍 1515 🔁 546 💬 101 📌 14
9/ WTF?! 27 states have already agreed to use the SAVE system—which links to an SSA database mishandled by DOGE— to purge their voter rolls. (So the security of the 2026 election will be compromised even if the Save Anerica Act doesn’t pass.) www.texastribune.org/2026/02/13/s...)
16.02.2026 03:30 — 👍 120 🔁 85 💬 10 📌 11
3/
16.02.2026 01:59 — 👍 60 🔁 26 💬 2 📌 0
Even Grok acknowledges that the so-called “Save America Act” (backed by Trump & Musk) may undermine the security of our elections by creating a Single Point of Attack for voter roll maintenance via the Save Program, which links to an SSA database mishandled by DOGE. #NoOnSave #ProtectOurVotes 1/
16.02.2026 01:57 — 👍 842 🔁 381 💬 16 📌 20
Side note: Someone once closely associated with weev has been attacking and harassing me for the past year—literally starting the day my book deal was announced. I have chosen to ignore it, but it sure is an odd coincidence!
16.02.2026 00:37 — 👍 247 🔁 21 💬 1 📌 0
weev - Wikipedia
Busy on deadline today, but you can find out more about weev on his wikipedia page.
Someday, we're gonna have a very long conversation about weev...and his friends.
en.wikipedia.org/wiki/Weev
15.02.2026 22:45 — 👍 303 🔁 46 💬 9 📌 1
From Cyberlibertarianism: Weev’s Dangerous “Wisdom” There may be no clearer example of the passage between cyberlibertarianism and cyberfascism than the one embodied in the person of Andrew Auernheimer, who styles his name as weev. A self-identified hacker who prided himself on berating others for their lack of skill, often focusing on minorities and women, weev had long been active in hacker, cryptography, and far-right social media sites like 4chan, especially the “unofficial 4chan wiki” (Read 2011) called Encyclopedia Dramatica (Schwarz 2008). Auernheimer is a lifelong white nationalist, neo-Nazi, and anti-Black racist (Southern Poverty Law Center n.d.) who has frequently associated with many of the most virulent figures, platforms, and publications associated with the far right. He used his influence with digital advocates to direct abuse toward those he disliked.
The late David Golumbia saw weev (real name: Andrew Auernheimer) as a linchpin in Silicon Valley's turn toward fascism. He spends nearly a whole chapter on weev in "Cyberlibertarianism: The Right Wing Politics of Digital Technology."
15.02.2026 22:42 — 👍 427 🔁 100 💬 3 📌 1
Email to Jeffrey Epstein in which Vincenzo Iozzo shares rumor that Peter Thiel was bankrolling weev.
From: Vincenzo lozzo
Sent: Monday, November 17, 2014 1:11 PM
To: jeffrey E.
Subject: Re: hedge funds strategy discussion
not sure if you had time to think about this or the company, but to add =ne data point I've heard rumors that Thiel (who
I believe you know) was =ankrolling this dude: http://en.wikipedia.org/wiki/Weev to do similar things. Now that dude is
not only an idiot but also =ompletely nuts so I have no way to confirm whether that's actually true =r not, but anyway I
figured I'd let you know
On 15/nov/2014, at 12:48, jeffrey E. <jeevacation@gmail.com> wrote:
> I tried to call
> On Saturday, November 15, 2014, Vincenzo lozzo neumminia =rote:
> yeah phone works too and if it sounds plausible then we could talk =ore in person. Do you have my number? Or shall I
call you?
> Mine is:
> Thank you :)
> On 15/nov/2014, at 12:43, jeffrey E. <jeevacation@gmail.com> wrote:
> Of course or phone /Skype later
> >
> On Saturday, November 15, 2014, Vincenzo lozzo > =rote:
> > oh btw the trick to all of this on the regulatory side might very
> =ikely be "currencies", which would make a lot of sense based on the
> =iscussions we had a few months back
A strange find from the Epstein files:
A hacker named Vincenzo Iozzo shares with Epstein a rumor that Peter Thiel was "bankrolling" the neo-Nazi white supremacist hacker troll known as "weev."
Conversation is about financial strategies and "currencies."
www.justice.gov/epstein/file...
15.02.2026 22:36 — 👍 1776 🔁 642 💬 33 📌 66
Leslie Manookian said at the 2022 Brownstone Institute Gala that measles infection protects kids from cancer (false) and infections can benefit kids & cause developmental leaps.
I wish that our current NIH Director Jay Bhattacharya, who was in the audience & on another panel, had spoken up.
14.02.2026 23:54 — 👍 30 🔁 17 💬 6 📌 4
Like many professors who teach writing skills, especially policy writing, I believe students learn way more if they don't use AI
That's what I told my students & I suggested to them that they avoid it for their essays (I didn't mandate avoidance)
I'm super happy that NOBODY used it for essay 1 🙌
15.02.2026 14:39 — 👍 34 🔁 6 💬 3 📌 0
🚩 🚩 🚩: selling books and courses on topics you have no training in while bashing “the experts” in “the system.”
15.02.2026 20:53 — 👍 27 🔁 6 💬 3 📌 2
This Is What Destroying the Vaccine Market Looks Like
A shocking move by RFK Jr.’s team has the industry spooked—for good reason.
No excuses please for Marty Makary, Vinay Prasad from their enablers in the medical profession. These men have decided it is good for their careers to tank the vaccine market. What evil, evil little men.
open.substack.com/pub/thebulwa...
15.02.2026 21:38 — 👍 108 🔁 42 💬 2 📌 1
15.02.2026 16:20 — 👍 23 🔁 7 💬 0 📌 0
Sounds like perjury to me!
15.02.2026 17:27 — 👍 95 🔁 23 💬 6 📌 0
Which Immunization Schedule Should You Follow?
Do you want to leave your kids at risk to get a vaccine-preventable disease?
Which immunization schedule should you follow? Many states and medical organizations are rejecting the new CDC schedule and are instead endorsing the AAP immunization schedule. Review why you should too! bit.ly/4qERANM
15.02.2026 18:58 — 👍 2 🔁 2 💬 0 📌 0
Vinay Prasad is the FDA Chief Medical and Scientific Officer. Here is What You Need to Know.
Another Anti-vaccine, Pro-Virus Quack Joins Trump's War on Public Health
In the past few years @panaccindex.bsky.social has done as much as anyone to try to raise the alarm about Vinay Prasad and other MAHA disinformation doctors.
Too bad medical school deans weren’t this clear-eyed.
www.panaccindex.info/p/vinay-pras...
14.02.2026 03:12 — 👍 45 🔁 18 💬 3 📌 0
Fact check: True.
15.02.2026 20:29 — 👍 142 🔁 22 💬 3 📌 0
Top row L to R:
RFK Jr, Jay Bhattacharya, Calley Means, Eric Berg, Gary Brecka, Tony Lyons
Bottom row L to R:
First three not yet identified, Catlin Sinclair, Jax Bari, Jan Jekielek
Photos found on MAHA Action IG page:
https://www.instagram.com/p/DUrQsD_CTs_/?img_index=1
And on the cesspool called Twitter:
https://x.com/NIHDirector_Jay/status/2022056727382769960?s=20
https://x.com/SecKennedy/status/2020673903832560099?s=20
Well, according to the idiots at MAHA, all we gotta do is "eat real food" and get the MAHA tattoo.
15.02.2026 19:59 — 👍 0 🔁 0 💬 0 📌 0
Progressive Candidate Has Dropped Out Of ME Senate Race
Not Platner. Daira Smith-Rodriguez
Platner's dismissive comments about sexual assault in the military were so disgusting that a candidate who had experienced assault in the service dropped out to endorse Mills rather than risk Platner getting into the senate. www.everythingishorrible.net/p/progressiv...
15.02.2026 07:10 — 👍 1243 🔁 418 💬 23 📌 34
Former marathoner & triathlete that raced w/ Liam. Disabled w/ Long Covid & stage IV cancer. Artist. Long Covid advocacy satire videos. Co-host of The Butterfly Pavilion Podcast. Love my wife, kids, family. https://linktr.ee/seekingbostonmarathon
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