Landmark Battle: Skrmetti Defends Law Protecting Minors | 12.7.24

Summary

Summary of "Landmark Battle: Skirmetti Defends Law Protecting Minors | 12.7.24" - Morning Wire

Podcast Information:

• Title: Morning Wire
• Host/Author: The Daily Wire (Editor-in-Chief John Bickley and Co-host Georgia Howe)
• Episode: Landmark Battle: Skirmetti Defends Law Protecting Minors | 12.7.24
• Release Date: December 7, 2024

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Overview

In this pivotal episode of Morning Wire, hosted by Daley Weyer with contributions from John Bickley and Georgia Howe, the focus is on the landmark Supreme Court case U.S. v. Skirmetti. Tennessee Attorney General Jonathan Skirmetti joins the discussion to defend a state law aimed at protecting minors from transgender medical procedures. This episode delves into the legal arguments presented, the societal and political implications, and the potential outcomes that could reshape how states regulate transgender healthcare for minors.

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Introduction to the Landmark Case

Daley Weyer opens the episode by highlighting the significance of U.S. v. Skirmetti as "the most significant case of the current Supreme Court term" ([00:03]). This case places Tennessee Attorney General Jonathan Skirmetti at the center of a major legal battle against the federal government, challenging the constitutionality of state laws regulating transgender medical procedures for minors.

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Attorney General Skirmetti’s Reflections on the Supreme Court Hearing

Jonathan Skirmetti shares his perspective on the Supreme Court's oral arguments, stating, “I thought the day went very well for us” ([01:33]). He commends his solicitor general, Matt Rice, for effectively presenting their case and notes the thoroughness of the justices' questioning, which underscores the case's potential to set a significant precedent.

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Key Legal Questions Raised by the Justices

Skirmetti identifies the central legal issues discussed during the hearing, particularly questions surrounding sex discrimination. He explains, “there are a number of questions about how this case might fit into existing sex discrimination case law” ([02:19]). The argument pivots on whether the state law constitutes sex discrimination under the Constitution, with Tennessee maintaining that hormone treatments are condition-specific rather than universally based on sex.

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Understanding Off-Label Drug Usage

The conversation transitions to the concept of off-label drug usage, with Skirmetti clarifying its implications: “off label, which means even though the drug is not approved for that use, the doctors have made an informed medical decision to use it in that context” ([04:16]). He emphasizes that while doctors have discretion, state regulations like Tennessee's law impose necessary legal limits to prevent potential harms that outweigh the benefits.

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Medical Justification and Efficacy of Transgender Procedures for Minors

Addressing the medical evidence supporting the law, Skirmetti asserts, “every systematic review of the evidence has determined that there is little to no benefit to minors” ([05:55]). He references European countries that have since reversed their policies on transgender treatments for minors after comprehensive reviews indicated that the risks far outweigh the benefits, reinforcing Tennessee's stance.

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Parental Rights and State Protection

Responding to arguments that the law infringes on parental rights, Skirmetti states, “parents can't just go ahead and let their kids engage in conduct like that because the kids can't meaningfully consent and the parents can't consign them to a life of dealing with the consequences” ([07:07]). He clarifies that while parental rights are respected, they do not extend to allowing actions that could result in long-term harm to minors, positioning the state as the protector of children's welfare.

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Broader Impact on Other States

Skirmetti discusses the potential ripple effects of the Supreme Court's decision, noting, “if Tennessee's law is constitutionally sound, then the other half of the states in the country that have adopted similar laws will similarly survive constitutional scrutiny” ([08:39]). This outcome could solidify the legal framework for over two dozen states with similar laws, allowing them to continue enforcing protections against transgender medical procedures for minors.

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Cultural and Political Context

Exploring the broader cultural implications, Skirmetti observes, “the country has moved, at least in part, very, very far, very, very fast over the past few years” ([09:27]). He attributes recent Republican electoral successes to heightened concerns over the transgender agenda, highlighting that the issue resonates across a diverse coalition of supporters, including non-traditional conservative groups and certain medical and LGB organizations.

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Enforcement of the Law Pending Supreme Court Decision

Looking ahead, Skirmetti outlines Tennessee's commitment to upholding the law until the Supreme Court issues its ruling: “our law is currently in effect, and we will enforce it. And that means we're going to be protecting Tennessee kids from these lifelong treatments” ([11:10]). He emphasizes the belief that most minors with gender dysphoria will outgrow it with time, underscoring the law's role in safeguarding their long-term well-being.

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Notable Quotes

• Jonathan Skirmetti: “I thought the day went very well for us. My solicitor general, Matt Rice, did a great job making our case” ([01:33]).

• Jonathan Skirmetti: “there are a number of questions about how this case might fit into existing sex discrimination case law” ([02:19]).

• Jonathan Skirmetti: “off label, which means even though the drug is not approved for that use, the doctors have made an informed medical decision to use it in that context” ([04:16]).

• Jonathan Skirmetti: “every systematic review of the evidence has determined that there is little to no benefit to minors” ([05:55]).

• Jonathan Skirmetti: “parents can't just go ahead and let their kids engage in conduct like that because the kids can't meaningfully consent and the parents can't consign them to a life of dealing with the consequences” ([07:07]).

• Jonathan Skirmetti: “this was a bipartisan piece of legislation” ([09:27]).

• Jonathan Skirmetti: “our law is currently in effect, and we will enforce it” ([11:10]).

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Key Takeaways

1. Significance of the Case: U.S. v. Skirmetti is poised to be a landmark decision that could influence the legality of transgender medical procedures for minors across the United States.

2. State vs. Federal Authority: The case centers on Tennessee's authority to regulate medical practices within the state, particularly concerning treatments for gender dysphoria in minors.

3. Legal Arguments: The defense emphasizes that the law is not unconstitutional sex discrimination but a necessary regulation to protect minors from long-term harm.

4. Medical Evidence: Systematic reviews and international policy reversals are cited to support the claim that transgender medical procedures offer little to no benefit for minors and pose significant risks.

5. Parental Rights: While parental rights are acknowledged, they are not absolute when they conflict with the state's duty to protect child welfare.

6. Broader Implications: The outcome of this case could validate similar laws in over two dozen states, significantly shaping the national landscape of transgender healthcare regulation.

7. Cultural Impact: The issue has galvanized a diverse coalition of supporters and has become a central topic in recent political shifts, contributing to Republican gains in various elections.

8. Enforcement Commitment: Tennessee remains steadfast in enforcing the law to protect its youth, pending the Supreme Court's decision.

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This episode provides a comprehensive analysis of the ongoing legal battle over transgender medical procedures for minors, offering listeners valuable insights into the legal reasoning, medical evidence, and political dynamics at play. Through Attorney General Skirmetti's explanations, the podcast elucidates the complexities of balancing state authority, parental rights, and child welfare in the context of evolving societal norms.

Transcript

[Daley Weyer]

It's being called the most significant case of the current Supreme Court term. U.S. v. Skirmetti. In this episode, Tennessee Attorney General Jonathan Skirmetti sits down with us to discuss his pivotal role in the case and his defense of a state law aimed at protecting minors from transgender medical procedures. I'm Daley Weyer, Editor in chief John Bickley with Georgia Howe. It's December 7th, and this is a Saturday edition of Morning Wire.

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[Daley Weyer]

Joining us now is Tennessee's attorney General, Jonathan Skermetti. Attorney General, thank you so much for coming on. The Supreme Court heard oral arguments Wednesday on what is setting up to be a landmark case on transgender medical procedures on minors. Your name is on this marquee case. It's you against the federal government, the US Versus Skirmetti. So safe to say no one is more attuned to what happened this week than you. First, how did you feel the day went? Case?

[Jonathan Skirmetti]

I thought it went very well. I can't predict outcomes. You don't know what the court's going to do. And the justices have months to deliberate. So without talking, you know, horse race here, I thought the day went well for us. My solicitor general, Matt Rice, did a great job making our case. I was very happy with his oral argument. The argument went long, which I think reflects that the justices care a lot about this, recognize there are some complexities here from a legal perspective and that this could be a very consequential precedent. And so they want to get it right. So I thought they explored many issues very thoroughly, and I thought we put out a great case for Tennessee.

[Daley Weyer]

Yeah. What are some of the questions from the justices that stuck out to you that you think maybe could be key in their decision making?

[Jonathan Skirmetti]

Again, you don't want to prognosticate too much, but I think the sex discrimination questions were very important. There was one lengthy line of questioning, but there were a number of questions about how this case might fit into existing sex discrimination case law. And I think that's probably going to be a very significant issue for the outcome of the case. I think I can, I can prognosticate that much. But, you know, the question is, is this a sex discrimination case in a constitutional sense? Our position is it is not because you're not treating like people differently. The argument is because boys can get testosterone but girls can't, and girls can get estrogen but boys can't, that you're discriminating on the basis of sex. But our position is there's not some universal distribution of hormones out there. You don't just give boys testosterone. Anytime a drug is prescribed, it is for the purpose of treating a particular condition. And the evaluation of whether the drug is appropriate depends on that condition. There's not some universal access to any given drug. And so if you're giving a boy testosterone for a testosterone deficiency, that's relieving medical problems, that's curing harms. If you give a girl testosterone for a psychological condition, gender dysphoria, it's creating a host of physiological problems, Potential lifelong loss of fertility, potential lifelong loss of sexual function, Depending on which hormone you're talking about, you can have lifelong problems with blood clots, with tumors, with puberty blockers, bone density disorders, and all of them cause potential lifelong cognitive impairments. So the use of the drug is very contingent on which condition you're addressing with it.

[Daley Weyer]

Now, part of this is encapsulated in the concept of off label usage of drugs. Can you explain what that means for our audience?

[Jonathan Skirmetti]

Sure. So the fda, kind of adopting the perspective that I just articulated, only evaluates drugs for certain uses. They don't say this drug is good, a plus. Everybody can get as much of it as they want. They say this drug is appropriate for treating this condition. And a lot of times a drug will be approved to treat certain conditions. The FDA doesn't have sufficient research to evaluate whether it's appropriate for other conditions, but doctors can still sometimes prescribe it. They can prescribe off label, which means even though the drug is not approved for that use, the doctors have made an informed medical decision to use it in that context, but they're still subject to regulation. The state has for hundreds of years been regulating the practice of medicine. And even though doctors have a great deal of latitude, there are legal limits on what they can do. And oftentimes those limits are in place because the potential harms dramatically outweigh the potential benefits. The state has made a judgment that it is simply not appropriate to let doctors do what they would otherwise be inclined to do. Of course, those are fairly limited circumstances. We give a lot of latitude to doctors. We have a lot of respect for their training and for their decision making. But there's still a role for regulation there.

[Daley Weyer]

When your team researched the evidence, the medical justification for why you think this is a fair law in the first place, what did you find in terms of the efficacy of these gender transition procedures for minors? Is there evidence backing up what the pro trans activists will claim about this?

[Jonathan Skirmetti]

Every systematic review of the evidence has determined that there is little to no benefit to minors. There was some of this in the court. You can attack any given individual study on either side. There are always arguments to be made. But the systemic reviews, the systematic reviews of the overall research literature have consistently shown no benefit. And that's why European countries that had pioneered the use of these procedures on kids have since reversed course. It's not because they suddenly got very politically conserv. It's because they looked at the evidence and they determined that for kids the risks far outweigh the benefits. That the unexplained dramatic increase in the number of cases was very concerning. That there simply wasn't a medical justification for the broad adoption of these treatments in the juvenile context. And so they've greatly restricted the availability of these treatments. And that same review of evidence informed Tennessee's decision.

[Daley Weyer]

Now, I wanted to ask you about the parental rights aspect of this law. The pro trans activists have tried to argue that Tennessee's law could violate parents rights. What do you make of that argument?

[Jonathan Skirmetti]

So when the case was originally filed, there was both a constitutional argument involving sex discrimination and a parental rights argument. We won both in the court of Appeals in the 6th Circuit, the United States only petition for Cert on the 14th Amendment issue. And so when the court granted that petition, the only question before them is the equal protection sex discrimination claim. So the parental rights issue is still lurking out there. Justice Barrett addressed that briefly. Now there are other situations where parents aren't allowed to do what they'd otherwise be inclined to do. We give parents a great deal of latitude with their children, but that doesn't mean that they can do whatever they want, particularly in situations where you're talking about severely adverse consequences in the long run. Parents can't just go ahead and let their kids engage in conduct like that because the kids can't meaningfully consent and the parents can't consign them to a life of dealing with the consequences for Many, many different choices. This is an area where the state's power is near its apex, is protecting kids from serious harm.

[Daley Weyer]

Now, as we've documented here at the Daily Wire, Tennessee's law was inspired by an investigation into Vanderbilt's gender clinic, Matt Walsh, that got a lot of attention, not just of people in the state, but across the country. And now over two dozen states have laws similar to Tennessee's. How will this ruling impact those state laws?

[Jonathan Skirmetti]

Well, presumably if Tennessee's law is constitutionally sound, then the other half of the states in the country that have adopted similar laws will similarly survive constitutional scrutiny. And it will allow those states to exercise their sovereign authority to regulate the medical profession in a way that protects k. So this is definitely a case that will have broader consequences than just within the borders of Tennessee.

[Daley Weyer]

A larger question about the cultural context of this. We just saw an election where Republicans gained 10 points or more in almost every single state. Even at very, even in very deep blue areas. Even if they didn't go Trump, they moved in the direction of Republicans. And one of the most cited issues was this transgender agenda. Do you see this year as a turning point on this issue?

[Jonathan Skirmetti]

So I think it's an issue that's front of mind for a lot of people because the country has moved, at least in part, very, very far, very, very fast over the past few years. We've just seen radical changes in the rhetoric, in mainstream conversations about gender identity. To tell someone 10 years ago this would be the big case of this term at the Supreme Court, I think would have baffled most Americans. So it's something that people are reacting to. But I do think even if there is a political element to it with respect to the election, it's really important to note that this is not a political issue for a lot of people. This was a bipartisan piece of legislation. It was supported by members of both sides of the aisle when it came through the Tennessee legislature. The people advocating for this include, of course, traditional Christian conservative groups, traditional constitutional conservative groups, but also groups that probably don't align with us on a lot of issues. There are medical groups that are fairly non political. There are LGB groups that are very concerned about what they term transing the gays. So this is a coalition that's much broader than just one side of the political divide. There are a lot of people who are really worried that we have adopted a, an approach to gender identity issues that's going to leave a lot of kids very hurt.

[Daley Weyer]

There's certainly evidence that the national sentiment has shifted on this final question. The justices will deliver their decision this summer. In the meantime, how does Tennessee handle this particular law in the intervening months?

[Jonathan Skirmetti]

So our law is currently in effect, and we will enforce it. And that means we're going to be protecting Tennessee kids from these lifelong treatments. You know, one important fact is the science shows, the evidence shows most kids dealing with gender dysphoria will outgrow it. It's a hard thing to deal with. It's a hard thing for everybody to deal with. But most of these kids who are being steered toward these life altering treatments would be fine if they were just given time. And we want to make sure they have that time.

[Daley Weyer]

Well, Attorney General, thank you so much for taking the time to talk to us. That was Tennessee Attorney General Jonathan Scurmetti. And this has been a edition of MORNING Wire.