Morning Briefing
Summaries of health policy coverage from major news organizations
Trump Bans Transgender People From Military, Citing Medical Costs Among Reasons
President Trump abruptly announced a ban on transgender people serving in the military on Wednesday, blindsiding his defense secretary and Republican congressional leaders with a snap decision that reversed a year-old policy reviled by social conservatives. Mr. Trump made the declaration on Twitter, saying that American forces could not afford the 鈥渢remendous medical costs and disruption鈥 of transgender service members. He said he had consulted generals and military experts, but Jim Mattis, the defense secretary, was given only a day鈥檚 notice about the decision. (Davis and Cooper, 7/26)
Trump鈥檚 decision comes two weeks after the House rejected an amendment to the annual defense policy bill that would have blocked the Pentagon from offering gender transition therapies to active-duty service members. Twenty-four Republicans joined 190 Democrats voting to reject the measure. But conservative lawmakers 鈥 many of them members of the House Freedom Caucus 鈥 had threatened to withhold support for a spending bill if Congress did not act to prohibit the Pentagon from paying for the procedures. The impasse broadly threatened government spending, but most importantly for Trump, it potentially held up money that had been appropriated for the border wall between the United States and Mexico, a key promise he had made during the campaign. (Phillip, Gibbons-Neff and DeBonis, 7/26)
After a week sparring with his attorney general and steaming over the Russia investigation consuming his agenda, President Donald Trump was closing in on an important win. House Republicans were planning to pass a spending bill stacked with his campaign promises, including money to build his border wall with Mexico. But an internal House Republican fight over transgender troops was threatening to blow up the bill. (Bade and Dawsey, 7/26)
Here's a look at 5 questions Trump raised with his tweets. (Ewing, 7/27)
Lawmakers in both parties slammed President Trump鈥檚 decision on Wednesday to bar transgender Americans from serving in the military, while many of his allies on Capitol Hill remained largely perplexed or silent. The president鈥檚 decision, announced in a series of tweets, is聽yet another move that confused and divided elements of his party at a time when it is already roiled by disagreements over the future of a proposed health-care overhaul and of embattled Attorney General Jeff Sessions, who has faced a barrage of criticism from Trump in recent days. (DeBonis and O'Keefe, 7/26)
President Trump鈥檚 decision to ban transgender individuals from serving in the military highlights recent votes on a related issue by two Republican members of Congress from Virginia whose districts are being targeted by Democrats in 2018. They took opposite stances on a measure that would have blocked an Obama-era practice requiring the Pentagon to pay for gender transition surgeries and hormone therapy. The 鈥淗artzler amendment鈥 鈥 named after Rep. Vicky Hartzler (R-Mo.), who proposed adding it to the annual defense policy bill 鈥 failed by a vote of 214 to 209. (Portnoy, 7/26)
Veterans Affairs Secretary David Shulkin said Wednesday that he "was not aware" that President Donald Trump would announce on Twitter that he was barring transgender people from serving in the military. (Siu, 7/26)
The Pentagon was blindsided by President Donald Trump鈥檚 announcement on Wednesday that his administration would block transgender people from the U.S. military, and the Defense Department has no idea yet how it will affect troops already serving. The president鈥檚 declaration on Twitter, saying transgender people would not be allowed to serve 鈥渋n any capacity,鈥 came a year after the Defense Department under former president Barack Obama lifted its ban on transgender troops serving openly. (Bergengruen, 7/26)
Joining the Navy was one of the best decisions Alec Kerry said she had ever made. The other was coming out as transgender. 鈥淭he Navy taught me how people can come together and work hard to achieve something bigger than themselves,鈥 said Petty Officer Kerry, 24, who is training to operate nuclear reactors and soon plans to adopt the name Eva. 鈥淪trangely enough, I think what the Navy taught us about integrity was what gave me the courage to come out. I had to be honest about who I was with myself and the people I served with.鈥 (Philipps, 7/26)
Most LGBT-rights activists never believed Donald Trump's campaign promises to be their friend. But with his move Wednesday to ban transgender people from military service, on top of other actions and appointments, they now see him as openly hostile. (Crary, 7/27)
Carla Lewis enlisted in the U.S. Air Force in 1990. But the next year, after a background check for a top-secret position revealed that she had seen a counselor for gender identity issues, she was honorably discharged for what her military papers described as 鈥淐onditions That Interfere With Military Service 鈥 Not Disability 鈥 Mental Disorders.鈥 (Pearce, 7/26)
President Donald Trump鈥檚 announcement early Wednesday that transgender people would no longer be allowed to serve was met with swift reaction and strong opposition among California鈥檚 transgender military community and congressional delegation. Trump made the announcement in a series of tweets, concluding with: 鈥淥ur military must be focused on decisive and overwhelming 鈥 victory and cannot be burdened with the tremendous medical costs and disruption that transgender in the military would entail.鈥 (Leitsinger, 7/26)
In a series of tweets posted around 9 a.m. Wednesday, Trump said: 鈥淎fter consultation with my Generals and military experts, please be advised that the United States Government will not accept or allow Transgender individuals to serve in any capacity in the U.S. Military. Our military must be focused on decisive and overwhelming victory and cannot be burdened with the tremendous medical costs and disruption that transgender in the military would entail. Thank you.鈥 (King, 7/27)
Banning transgender personnel from the military was an easy way for Trump to appeal to his conservative base, which has shown signs of turning on him in recent days because of his ongoing criticism of Attorney General Jeff Sessions. 鈥淭ime will tell鈥 if Sessions remains employed, Trump said earlier this week. (Garofoli, 7/26)