Vanderbilt University Medical Center’s announcement of a new transgender clinic in 2018 did little to draw attention to its practice. The four-paragraph news release amounted to a location, hours and the names of two senior staff members.
The spotlight came four years later, when Matt Walsh, a conservative political commentator at The Daily Wire in Nashville, published a series of posts and videos about the clinic. Those posts said that a staff member there had privately characterized gender-affirming medication and surgery as “moneymakers,” and used caustic terms to describe the center’s treatments.
The medical center, which is separate from Vanderbilt University, pushed back. In a statement at the time, the center said that the clinic’s mission was to serve a “high-risk population for mental and physical health issues” who “have been consistently underserved by the U.S. health system.”
The medical center said that it had not provided care to children younger than 18 without the consent of a parent, and that it would not force any employee who disagreed with the care because of personal or religious beliefs to provide it.
Conservatives called for an investigation into the clinic, and Republican leaders spoke at a rally Mr. Walsh organized in Nashville in October 2022 in opposition to gender-affirming care for children. When Tennessee legislators convened in January 2023, lawmakers designated a proposed ban on gender-affirming care as Senate Bill 1. The bill passed over objections from transgender people and most Democrats.
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