In yet another contentious move that has once again put her in the spotlight, New York Attorney General Letitia James has demanded that NYU Langone Health defy federal guidelines and resume transgender treatments for minors. The Department of Justice didn’t take long to fire back, warning James that such demands could lead to harmful outcomes for vulnerable young people. It seems the Attorney General has made a habit of swimming upstream in a river stocked mostly with common sense.
James, who’s no stranger to controversy, appears to be trying to strong-arm private institutions into performing medical procedures that they have already decided to stop. What’s the endgame, one might wonder? She has vaguely threatened prosecution, recovery of damages, and potentially shutting down these institutions if they don’t comply with her demands. In doing so, James is ignoring both the medical community and the courts, including the Society of Plastic Surgeons and the American Medical Association, both of which have raised significant concerns about the procedures in question. It almost feels like a storyline from an alternate universe where slogans trump science.
In her crusade, James seems to have overlooked a small, yet crucial, detail—science and legal precedent. Reports such as the Cass Report and recent evaluations by European countries have questioned the wisdom of performing such procedures on minors, pointing to a potential for harm. It looks like James is operating under a “hear no science, see no science” mantra. While James tends to champion the phrase “follow the science,” it appears she’s quite selective about which science deserves her allegiance.
From a legal standpoint, one might expect the Attorney General’s office to be familiar with Supreme Court rulings, yet James seemingly marches on with the persistence of someone who missed the memo. A previous Supreme Court ruling involving a Tennessee law on similar procedures determined that restricting these treatments is not considered discriminatory. This raises the question of whether James pays attention only to legal arguments that align with her stance, rather like a chef tasting only their own cooking.
In a world where judicial decisions and medical guidelines ought to be revered, it seems James is playing judge, jury, and doctor. While James rallies her latest battle cry, one must wonder if she’s forgotten the fundamental purpose of her role—to uphold the law with impartiality. Perhaps it’s time to shake the dust off her law books and medical journals before crusading for a cause rejected by those very same texts. As always, it will be interesting to see how this legal circus unfolds; tune in, or should that be log in, for what might come next.

