Michael R. Ulrich
@michaelrulrich.bsky.social
1.3K followers 170 following 100 posts
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michaelrulrich.bsky.social
Rebuttal's focus on youth wanting conversion therapy and restrictions even when parent and child align is interesting considering the irrelevance of these facts in Skrmetti

I think this shows that the case is attempting to carve out therapy from regulation, which could prove harmful and chaotic
michaelrulrich.bsky.social
ACB: what is best evidence this causes harm?

CO: substantial evidence since from 2009, including a shoutout to the important work by @turban.bsky.social! There is both evidence of the harm and no evidence of it being beneficial or helpful despite efforts existing for over a century
michaelrulrich.bsky.social
Kagan: speech related to things like eating habits seems more incidental than words only as treatment

CO: not if the point is that licensed professionals are to be considered experts who are able to help and treat people
michaelrulrich.bsky.social
Alito: what about times when medical consensus is politicized and taken over by ideology and how does this impact reliance on the standard of care? Shouldn't this tell us to protect speech? Uses Buck v. Bell
michaelrulrich.bsky.social
CO brings up other speech only clinical conduct for high cholesterol (not a problem, eat less red meat, get a stent, etc) to highlight that this can be regulated if it is against the standard of care
michaelrulrich.bsky.social
CO is harping on the relevance of standard of care, but raising the issue of medical uncertainty is an attempt to undermine the relevance of the standard of care (CO argues it should be viewed as it would in a malpratice case)
michaelrulrich.bsky.social
Gorsuch & ACB focusing on relevance of medical uncertainty, and whether rational basis applies (as SCOTUS applied in Skrmetti)

Seems as though they're trying to get CO to agree they decided Skrmetti correctly
michaelrulrich.bsky.social
Thomas asks about the dangers of those non-licensed individuals and CO highlights the fiduciary duties of clinicians and state licensing again as a signal to the public
michaelrulrich.bsky.social
Thomas asks CO difference between those exempted from the law (eg religious orgs) and CO says the state license and public expectations is the important difference
michaelrulrich.bsky.social
KBJ asks why Skrmetti isn't relevant since SCOTUS allowed state to ban treatment, getting FedGovt to make clear that their argument is essentially that talk therapy can't be regulated
michaelrulrich.bsky.social
KBJ points out that NIFLA was about notice and speech unconnected to treatment was central to the analysis, but here the speech is the treatment

FedGovt says being licensed doesn't mean govt can tell you what you can and can't say
michaelrulrich.bsky.social
Kagan picks up on FedGovt's hypo of speech daring suicidal patient & a ban satisfying strict scrutiny & FedGovt's response is data isn't necessary if SCOTUS doesn't FEEL it's necessary

Gorsuch suggests that historical bans on assisted suicide could substitute (finally history & tradition shows up!)
michaelrulrich.bsky.social
FedGovt argues there is "no evidence" to support the law and that the "label" of medical treatment is irrelevant to the issue

I wonder if any clinicians would disagree with medical treatment as merely a "label"
michaelrulrich.bsky.social
Chiles references McCullen, which is a case about a person talking to another on a sidewalk--how this relates to a licensed professional offering their services for pay to then talk to a minor in their private office is....unclear
a man in a suit and tie says are you making any sense of this snl
ALT: a man in a suit and tie says are you making any sense of this snl
media.tenor.com
michaelrulrich.bsky.social
Gorsuch's disdain for Colorado's law and arguments seem fairly apparent
michaelrulrich.bsky.social
Chiles using a similar argument from Skrmetti by suggesting the data is unclear about the harms of conversion efforts, which is absolutely false: the harm has be demonstrated repeatedly
michaelrulrich.bsky.social
KBJ's questioning gets to the perplexing idea that state-licensed clinicians can avoid regulation if the therapy they provide is words
michaelrulrich.bsky.social
Chiles claiming that if the treatment is only speech then it is exempted from being treated as medical conduct
michaelrulrich.bsky.social
KBJ getting to the heart of the issue: is the therapy not treatment? How do we separate them if you're drawing the line at regulating speech vs conduct?
michaelrulrich.bsky.social
Oral argument for Chiles v. Salazar, challenging Colorado’s ban on conversion therapy for minors is set to begin

Me & @turban.bsky.social talked about the implications of the case in @jamapediatrics.com

jamanetwork.com/journals/jam...
michaelrulrich.bsky.social
Today at 1pm: @mccuskey.bsky.social, Nicole Huberfeld, and I will defy the laws of time by covering Skrmetti 🏳️‍⚧️, Mahmoud🏳️‍🌈, Braidwood💉, VanDerStok🔫, Medina🤰, Chiles🧑‍⚕️, Callais🗳️, 1st Choice🥸, & more in a mere 50min
@buhealthlaw.bsky.social @bulaw.bsky.social @busph.bsky.social
michaelrulrich.bsky.social
Politicizing medicine, science, & expertise threatens everyone (eg, RFKJR attacks on vaccines)

Sotomayor’s Skrmetti dissent: “By retreating from meaningful judicial review exactly where it matters most, the Court abandons transgender children and their parents to political whims.”

ja.ma/4fnZkzM
Skrmetti and Supreme Court–Sanctioned Intrusion on the Practice of Medicine
This Viewpoint discusses the Supreme Court’s decision in United States v Skrmetti and the disregard of medical experience and expertise in court decisions related to gender-affirming care.
ja.ma
michaelrulrich.bsky.social
Was there ever a doubt Alito would step in to protect the parental rights of those who want to shield their kids from the fact that gay and trans people exist while also giving zero shits about parents trying to get health care for their trans child
Reposted by Michael R. Ulrich
leahlitman.bsky.social
Justice Sotomayor dissenting on birthright citizenship case: "The gamesmanship in this request is apparent and the Government makes no attempt to hide it. Yet, shamefully, this Court plays along. Because I will not be complicit in so grave an attack on our system of law, I dissent."