Trump’s attack strengthens Republican opposition to transgender medical policies

Debate and legislation over how American government and public institutions treat gender identity, gender-affirming care and the rights of transgender people. Contested mainly at state level and in the courts, across schools, sports, healthcare access and the wording of identity documents.

President Donald Trump repeatedly used an anti-transgender slur against Democratic Senate candidate and physician Annie Andrews during South Carolina’s Senate race on October 5, 2026. Andrews was running against Republican Senator Darline Graham, as the contest tightened.