Public Health

I Sympathize With the Gender-Policing Boys That Ruined My Childhood—Because Homophobia and Bullying Are Symptoms of the Same Disease

PUBLISHED 9/1/2026 by

Across the country, many boys and young men are navigating loneliness and uncertainty about who they are expected to become. Rigid ideals of masculinity can shape that search: Be self-reliant. Do not show too much emotion. Face problems alone. Looking for acceptance and a sense of belonging, some move through online communities and public figures—from red-pill influencers and podcasters to politicians—that offer competing, often prescriptive, ideas of manhood.

I was one of these young boys nearly 20 years ago. This is my story.

Heidi Overton and the Overton Window

PUBLISHED 8/27/2026 by

Last week, President Trump posted to Truth Social his plan to nominate Dr. Heidi Overton as commissioner of the Food and Drug Administration (FDA). (The Contrarian covered the departure of her predecessor, Dr. Marty Makary, when he was pushed out in May.)

This nomination indicates the administration’s further normalization of gutting healthcare and drug safety—yes, its attempt to shift the Overton Window. (Given her last name, how can I resist?) The Overton Window theory reflects the efforts of deft politicians to deliberately mold public perception of a policy or idea—and its eventual support or rejection. Hence, the widening or closing of the Overton Window.

Overton’s record leaves no doubt this administration aims to smash the window altogether. She currently serves as deputy director of the White House Domestic Policy Council and was part of the first Trump administration as well. Though she trained in surgery at Johns Hopkins University School of Medicine, there’s been nothing subtle about her resume or affiliations since her residency—including and especially her prominent role at America First Policy Institute (AFPI), a think tank that “exists to advance policies that … prioritize[e] free enterprise, national greatness, American military superiority, foreign-policy engagement in the American interest, and the primacy of American workers, families, and communities.”

A highlight reel of her AFPI tenure: She publicly celebrated when the Supreme Court overturned Roe v. Wade with its Dobbs v. Jackson Women’s Health Organization decision in 2022, stating that the ruling “will allow Americans to reevaluate the value of the potential of every baby in the womb and choose life through a democratic process.” She has questioned the long-established safety record of mifepristone, indicating her opposition to the FDA’s approval for its availability via telehealth. She has authored research and papers opposing gender-affirming care for minors; in a 2024 Newsweek op-ed, Overton complained that Democrats “won’t even define what a woman is.”

Beyond Abortion: How the ERA Could Transform Pregnancy, Work and Family Life

PUBLISHED 8/26/2026 by

On Women’s Equality Day, the unfinished fight for constitutional equality extends far beyond abortion. State equal rights amendments—and, ultimately, a robust federal ERA—could reshape how the law treats pregnancy, motherhood, work and family life.

Ming-Qi Chu, deputy director of the Women’s Rights Project at the ACLU, says state ERAs could be used to counter discrimination against pregnant women. Chu uses the example of a Tennessee case last year where a pregnant woman was denied prenatal care because she was unmarried.

“If they’re only asking about marriage in the specific context of pregnancy, then they’re treating pregnancy differently from other medical conditions,” she says. “And the other theory [of discrimination] is that they’re asking this question because they want women to be married before getting pregnant, enforcing the stereotype that only married women should receive prenatal care or should have pregnancies that are recognized.”

“I can imagine a robust ERA that says that it is a violation of our equality rights to die or to face the risk of dying from something that one of the wealthiest nations in the world should have rendered as an anomaly, as an exceptional circumstance that just doesn’t happen here anymore,” University of California, Berkeley, law professor Khiara M. Bridges says.

“The ERA can give us a real basis for making more intersectional arguments about equality, and pushing courts to consider the intersection of sex discrimination and race discrimination in ways that they have been unwilling to do until now.”

Girls Have Always Had ADHD. We Just Weren’t Looking.

PUBLISHED 8/24/2026 by

A teenage girl watches a 30-second TikTok video by @Clairebear describing “a day in hell” in her life, “ADD edition”:

“I get up and go to work and realize I don’t have gas in my car. I get to the gas station and reach for my credit card and remember that I don’t in fact have my card because I keep thinking it will turn up at some point.”

She continues explaining her day and reveals that these are all symptoms and signs of attention deficit hyperactivity disorder (ADHD).

The teenage girl in question sees much of herself in that scenario, goes to the doctor and is evaluated and diagnosed.

Welcome to modern medicine.

Mifepristone, Mail-In Voting and the Midterms Are All on the Line

PUBLISHED 8/22/2026 by

Trump has officially nominated Dr. Heidi Overton as the FDA commissioner. Overton previously called the abortion pill “telebortion,” and called on Congress to strictly regulate it.

With the FDA currently reevaluating its approval of mifepristone and its regulations permitting providers to mail the medication, Overton’s nomination represents yet another challenge to mifepristone’s widespread usage—accounting for over two-thirds of all abortions, including in states with bans. Not to mention the fact that Overton also recently appeared next to Trump during a press conference in which he spouted dangerous misinformation about childhood vaccines.

Asking for a friend: Will the physician in the Senate who holds a key vote on the Health Committee cave again?

Meanwhile, the Supreme Court might be on summer break—but its shadow docket is still up and running. And nothing is certain before this Supreme Court, which has committed itself to expanding Trump’s executive powers.

Thanks to SCOTUS and state legislators’ rollback of many fundamental rights, state supreme court races have been receiving increased attention, and attracted significant outside spending.

Don’t Let AI Become the New Sex Educator for Adolescents

PUBLISHED 8/20/2026 by

“Why would I Google it when I can just ask ChatGPT for exactly what I am looking for?” 

A 16-year-old asked me this during a recent conversation with Black adolescents about where they turn for health information. Her answer was striking, but hardly surprising.

As traditional sex education faces cuts in schools and reproductive health services become harder to access—particularly for young people of color in underserved communities—adolescents are increasingly looking elsewhere for answers. AI chatbots offer something schools, clinics and even trusted adults often do not: information that feels immediate, private and judgment-free.

Who’s Paying the Price for Trump’s Medicaid Cuts? Communities of Color and People Living With HIV.

PUBLISHED 7/29/2026 by

President Trump and his Republican backers have been determined to gut the Affordable Care Act (ACA) and expanded Medicaid coverage ever since his first term in office. This year he is finally getting his way, putting the health of tens of millions of Americans at risk.

It is racial minorities and the chronically ill who will be the most harmed.

A year ago, Congress passed the so-called One Big Beautiful Bill Act, putting in place onerous new eligibility requirements for Medicaid coverage, including work requirements. Medicaid enrollees ages 19 to 64 must complete at least 80 hours a month of work, community service, job training or education to maintain coverage, unless they qualify for an exemption. All states must comply with the new rule by Jan. 1, 2027.

The combination of ACA cuts and new barriers to Medicaid enrollment will likely cause historic coverage losses across the United States for years to come, according to new research: Nearly 16 million people stand to lose coverage by 2034.

The Myth of the ‘Perfect Birth’: What America Gets Wrong About Pregnancy, Birth and Maternal Care

PUBLISHED 7/26/2026 by

Project 2026’s pronatalist vision insists that America needs more babies—but largely ignores the conditions that make pregnancy and childbirth unnecessarily dangerous in the first place. In this interview with Ms., The Perfect Birth Myth co-authors Avital Norman Nathman and Deborah Wage argue that improving maternal health requires more than rhetoric about “family values.” It demands investments in midwives, doulas, paid family leave, prenatal and postpartum care, and policies that address the racial and economic inequities driving the nation’s maternal mortality crisis.

Drawing on surveys of nearly 3,000 parents and healthcare providers, Nathman and Wage dismantle persistent myths about birth while exposing the structural failures of the U.S. maternity care system—from hospital closures and Medicaid cuts to the medical establishment’s resistance to alternative models of care. They explain why Black women continue to face disproportionately poor outcomes regardless of income or education, why conservative pronatalist policies fall short, and what it would take to build a maternal healthcare system that truly supports families.

Hegseth’s Testosterone Bit Isn’t About Health

PUBLISHED 7/24/2026 by

The Trump administration has gotten rather … hormonal. As someone who cares deeply about the science and politics of all kinds of bodily matters, including and especially hormonal health and treatments, it is a truly bizarre exercise to unpack the latest news.

Last week, the defense secretary took to the airwaves to announce new mandatory screening of testosterone levels for all military members over 30, arguing the need to “optimize performance,” “combat Operator Syndrome” (a physical and behavioral condition uniquely attributed to soldiers who undergo intense training) and “maximize mission readiness.” Anyone deemed testosterone-deficient will be offered hormone therapy, presumably including the 230,000 women in active-duty service — who presumably may seek access to estrogen, progesterone and/or testosterone (hard to say given that women were not mentioned).

But of course, debate over optimal hormonal health is hardly the point. Only the most jacked-up soldiers fulfill Hegseth’s military fever dream — which he has made clear is devoid of women, whom he wants removed from combat roles altogether (he also has continued to block promotions of active-duty female Naval officers). The Trump administration has already banned transgender soldiers, at least based in part on the theory that their hormone treatments (though, in this case, they’d call it gender-affirming care, with a sneer) would be challenging to sustain.

It is not easy for me to put aside Hegseth’s distorted recasting of testosterone. That said, it happens to be true that federal regulatory guidelines for its usage are in need of an update and upgrade. As a menopause advocate, I fight hard for a world in which accessible, affordable hormonal care and treatment is a priority for all.

A Single Abortion Clinic Closing Rarely Makes Headlines. What Happens When None Are Left?

PUBLISHED 7/8/2026 by

Picture a map of the United States. It’s 2022, and in southern states like Texas and Tennessee, there are clusters of black dots that represent independent clinic closures. These are abortion care black holes: communities where it’s no longer possible to get an abortion at a nearby clinic.

Fast forward to present. It’s 2026, four years after the Supreme Court’s decision in Dobbs v. Jackson Women’s Health Organization, and black dots have multiplied in states across the country. It no longer matters if the state is red or blue, governed by conservatives or progressives. None are immune to the increasing weight of political pressure, financial strain and operational difficulty that are forcing independent clinics to close or stop providing abortion care.

Each of these black dots is a community suffering a healthcare crisis, and they are proliferating across the United States at a rapid rate.

Independent clinics are often the only places to get clinical abortion care, unbiased information and support for pregnancy options. They are where people go to feel safe and respected, whether they are getting an abortion, continuing a pregnancy or getting gender-affirming care. In small towns and rural spaces, these clinics are often the only safe place for many people, especially those who are LGBTQIA+. If clinics close, there is often nowhere else to go.

And once abortion clinics close, it’s not as simple as reopening when they can, if they can. Even if a specific restriction is lifted, severe financial constraints, continued political hostility, threats of violence and legal uncertainty still stand.