The Oregon Nurses Association (ONA) strongly condemns the recent executive orders from the Trump administration targeting transgender, non-binary, and gender-nonconforming individuals. These policies are not just an attack on civil rights, they have real and dangerous consequences for health care access, mental health, and the well-being of countless people in our communities.

The administration’s move to restrict federal funding for gender-affirming care is already having an impact. Some hospitals and clinics have begun pausing treatments such as puberty blockers and hormone therapy, despite the overwhelming medical consensus that these interventions are essential. The American Nurses Association, the American Medical Association, the American Academy of Pediatrics, and other leading health organizations recognize that gender-affirming care saves lives. Denying access puts trans youth at significantly higher risk for depression, anxiety, and suicide.

We already know that transgender individuals face serious barriers in health care. A study in the American Journal of Public Health found that nearly 30% of trans people experience discrimination in medical settings or avoid care altogether due to fear of mistreatment. These executive orders will only make those barriers worse. 

There’s also clear evidence linking anti-trans policies to deteriorating mental health. Research from the University of Washington School of Public Health shows that bans on gender-affirming care cause increased distress for trans youth, their families, and even the health care professionals trying to provide ethical, compassionate care. At a time when mental health concerns are already on the rise, these policies will lead to more harm, more suffering, and more lives at risk. 

ONA’s House of Delegates recent resolution on this issue is clear:  

• We stand against any attempt to erase or marginalize transgender, non-binary, and gender-nonconforming individuals. 
• We will use our legislative and advocacy power to fight back against discrimination and push for inclusive, equitable health care policies. 
• We will ensure that our own organization is a safe and supportive place for trans and non-binary employees, members, and their families. 
• We will continue working in solidarity with other unions and community groups to advocate for LGBTQIA+ rights in Oregon and beyond. 

Health care should be about healing, not harm. The nurses, physicians, advanced practice providers, mental health professionals, and health care providers of ONA will not be silent as these attacks escalate. We will continue fighting for the dignity, safety, and well-being of all people—because that is what our profession, our values, and our humanity demand.