A transgender woman incarcerated in a federal prison sits alone in her cell, reflecting the growing controversy over policies that could force transgender inmates off hormone therapy under Executive Order 14168. (Image generated by ChatGPT using DALL·E, 2026.)
Executive Order 14168, issued on January 20, 2025 and titled Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government, has reshaped how transgender people are treated by federal institutions. While much public discussion has centered on gender markers or legal recognition of transgender identity, one of the most immediate and dangerous consequences of the order has emerged inside the federal prison system. In particular, policy changes following the order have led to attempts by federal prison authorities to discontinue hormone therapy and other gender-affirming medical treatments for incarcerated transgender people. For many transgender inmates, this policy shift represents not only a denial of identity but also a serious threat to physical and psychological health. At the same time, the logic behind these policies raises broader concerns about how transgender people may be treated by federal institutions beyond the prison system.
The executive order directs federal agencies to recognize only two sexes—male and female—defined as immutable and determined at conception (The White House, 2025). This directive eliminates gender identity as a category recognized in federal administration. When applied to the federal prison system, the policy affects how prisoners are classified, housed, and treated medically. Most critically, it has been used to justify attempts to eliminate or restrict gender-affirming healthcare for incarcerated transgender people.
Gender-affirming hormone therapy is widely recognized by major medical organizations as a necessary treatment for individuals diagnosed with gender dysphoria. Medical consensus holds that hormone therapy can significantly reduce psychological distress, depression, and suicide risk among transgender patients. Within prison environments—where individuals already face isolation, stress, and restricted autonomy—continuity of medical care is considered especially important. Nevertheless, following the issuance of Executive Order 14168, federal prison officials moved to halt or restrict such treatment.
Reporting by the Associated Press indicates that the policy shift prompted the Federal Bureau of Prisons to attempt to terminate or suspend hormone therapy for transgender inmates in federal custody (Riccardi & Kunzelman, 2025). The decision sparked immediate legal challenges from incarcerated transgender individuals who argued that the abrupt withdrawal of medically prescribed treatment would cause severe harm. In multiple cases, courts were asked to intervene to prevent the termination of hormone therapy.
In June 2025, a federal judge ruled that the Bureau of Prisons must continue providing hormone therapy to transgender inmates while litigation proceeds. Reuters journalist Nate Raymond reported that the court found the government had failed to justify abruptly ending treatment that physicians had previously deemed medically necessary (Raymond, 2025). The ruling emphasized that forcing transgender prisoners to discontinue hormone therapy could produce serious psychological consequences and potentially violate constitutional protections against cruel and unusual punishment.
Despite these court rulings, recent reporting suggests that federal prison policies continue to move toward restricting gender-affirming care. In March 2026, Samantha Riedel reported in Them that federal prison authorities had begun implementing policies requiring transgender inmates receiving hormone therapy to gradually discontinue those medications (Riedel, 2026). According to medical experts cited in the report, forced withdrawal from hormone therapy can lead to severe depression, anxiety, and increased risk of self-harm. For individuals who have relied on hormone therapy for years as part of a medically supervised transition, being forced off treatment can trigger profound physical and psychological distress.
These medical risks are particularly concerning in correctional environments. Prison systems already struggle with high rates of mental health crises, and incarcerated individuals frequently have limited access to specialized medical care. When transgender inmates are forced off hormone therapy, the resulting psychological distress can be intensified by the conditions of confinement, including isolation, stigma, and lack of support networks. The loss of hormone therapy can also have visible physical effects that may expose transgender prisoners to additional harassment or violence from other inmates.
Although these developments are occurring within federal prisons, the implications extend beyond incarcerated populations. Policies implemented within prisons often reflect broader ideological frameworks that can shape how government agencies treat marginalized groups more generally. When federal policy defines sex as immutable and rejects the legitimacy of gender identity, that definition may influence how transgender people are treated across a wide range of institutions, including healthcare systems, identification programs, and federal employment policies.
The attempt to eliminate hormone therapy for transgender prisoners demonstrates how quickly policy can shift from symbolic definitions to control over medical care and bodily autonomy. If federal institutions can deny gender-affirming treatment to incarcerated individuals based on a policy redefining sex, similar arguments could potentially be used to justify restrictions in other contexts. While prisoners occupy a uniquely vulnerable position under government authority, policies affecting them can serve as testing grounds for broader administrative approaches.
History offers numerous examples in which policies applied first to prisoners or other marginalized groups later expand into wider legal frameworks. In the case of Executive Order 14168, the removal of gender identity from federal policy raises concerns that transgender people may face increasing barriers to medical care and legal recognition across multiple institutions. For transgender Americans, the developments within federal prisons therefore represent more than a correctional policy dispute; they signal how federal authority may increasingly regulate transgender bodies and identities.
The ongoing legal challenges surrounding hormone therapy in federal prisons will play a significant role in determining the future of transgender healthcare within federal institutions. Courts must decide whether the abrupt withdrawal of medically necessary treatment constitutes deliberate indifference to serious medical needs, which could violate the Eighth Amendment’s prohibition on cruel and unusual punishment. The outcome of these cases will shape not only the lives of transgender prisoners but also the broader legal landscape governing transgender rights in the United States.
Executive Order 14168 has therefore created a situation in which the treatment of transgender inmates has become a focal point in a larger struggle over recognition, medical care, and bodily autonomy. The attempt to force transgender prisoners off hormone therapy illustrates how administrative policy decisions can translate into immediate and profound consequences for vulnerable individuals. At the same time, it raises deeper questions about how far such policies might extend and what they could mean for transgender people beyond prison walls.
References
Raymond, N. (2025, June 3). U.S. judge says federal prisons must continue hormone therapy for transgender inmates. Reuters. https://www.reuters.com/legal/us-judge-orders-prisons-continue-hormone-therapy-transgender-inmates
Riccardi, N., & Kunzelman, M. (2025, January 23). What to know about President Donald Trump’s order targeting transgender rights. Associated Press. https://apnews.com/article/trump-transgender-passports-prisons-eggs-sperm-da1d1d280658a8c85c57cfec2f30cefb
Riedel, S. (2026, March 10). Federal prisons are beginning to force trans inmates off hormone therapy. Them. https://www.them.us/story/federal-prisons-are-beginning-to-force-trans-inmates-off-hormone-therapy
The White House. (2025). Executive Order 14168: Defending women from gender ideology extremism and restoring biological truth to the federal government. https://public-inspection.federalregister.gov/2025-02090.pdf
Unheard and Unrepresented: The TikTok Ban and America’s Youth
By Katherine Walter
On June 17, 2025
In democratic participation
Image: ChatGPT
TikTok, the wildly popular video-sharing platform with more than 150 million American users, is once again under threat of a nationwide ban unless former President Donald Trump—now in office again—extends the deadline requiring its Chinese parent company, ByteDance, to divest. While the national security rationale remains a central talking point, the deeper issue is being overlooked: the demographic most impacted by this ban—American youth under 18—has no political representation and no say in this decision. In a democratic society, such a disconnect between governance and those governed raises serious ethical and structural concerns.
The Protecting Americans from Foreign Adversary Controlled Applications Act (PAFACA), signed into law by President Biden in April 2024, mandates ByteDance to sell TikTok’s U.S. operations or face a ban by January 19, 2025. This law was upheld by the U.S. Supreme Court in TikTok v. Garland, reinforcing the government’s authority to act on national security grounds (Associated Press, 2025). But enforcement of the ban has been repeatedly delayed by President Trump through executive orders—ostensibly to allow for negotiations over a U.S. buyout of the platform (Allyn & Kim, 2025a).
What’s most troubling is how this entire debate—playing out in congressional hearings, courtrooms, and campaign rallies—has occurred without the inclusion or input of those most affected: young people. Teenagers make up a disproportionately large share of TikTok users, yet their opinions, interests, and creative spaces are being weighed and possibly erased by people they cannot elect, pressure, or even speak to.
Recent polling shows the sharp generational divide on this issue. According to Pew Research Center (McClain, 2023), only 18% of teens support a TikTok ban, in contrast with 38% of adults. Yet because minors cannot vote, run for office, or make financial contributions to campaigns, their overwhelming opposition to a ban goes unheard. The structure of the U.S. political system excludes them from direct participation, allowing their interests to be ignored in the name of protection.
This is not the first time youth culture has been targeted under the guise of national security or moral panic. In the 1950s, comic books were accused of corrupting children’s minds, leading to the creation of the Comics Code Authority, which gutted much of the medium’s artistic vitality (Reynolds, 1992). In the 1980s, Dungeons & Dragons was falsely linked to Satanism and suicide. Explicit music in the 1990s brought about parental advisory stickers and congressional hearings, though few long-term effects on youth behavior were ever substantiated. Time and again, American policy has leaned toward paternalistic control over genuine youth inclusion—and TikTok is only the latest chapter in this pattern.
Of course, concerns about data collection by a Chinese-owned company should not be dismissed. TikTok collects biometric identifiers, geolocation data, browsing history, and more. However, as Fung (2023) of CNN reports, there is no public evidence that this data has been shared with the Chinese government. Many social media platforms based in the U.S. collect similar or even more invasive information. If the core issue is data privacy, then comprehensive tech regulation—not selective banning—would be the more consistent and democratic solution.
Other democratic nations have pursued more measured responses. European governments have banned TikTok from official devices and demanded stricter privacy guarantees—but they have not banned it entirely from public use (Allyn, 2025). These more proportionate policies allow youth culture to continue while addressing national concerns with oversight and regulation. The U.S., on the other hand, is preparing to take the most drastic possible action: a nationwide removal of an app integral to teenage expression, identity, and even income.
TikTok is not just a platform for memes and dances. It is a digital public square for many young people. It’s where they express creativity, share political ideas, discover new music, form friendships, and build audiences. For some, it is a crucial income source through brand deals and affiliate links. Shuttering TikTok removes not just an app but an ecosystem of youth culture—without even giving that generation a seat at the table.
There are alternatives to an outright ban. The RESTRICT Act gives the Commerce Department the ability to monitor and restrict apps controlled by foreign adversaries, without defaulting to prohibition. Proposals such as requiring data localization, implementing third-party audits, or placing restrictions only on government devices would achieve better balance between security and liberty. More radically, policymakers could establish formal youth advisory boards to provide input on cultural and digital policy.
In a democratic society, representation is fundamental. And yet, American teens remain politically invisible. Their cultural spaces are scrutinized, regulated, or shut down by adults who claim to act in their best interest—but without ever asking what those interests actually are. To ban TikTok without youth input is to legislate without listening. It is a contradiction of democratic ideals.
The debate over TikTok is not simply about data or geopolitics—it is about who gets to be heard. Until young people are seen as full participants in the democratic process, decisions like these will continue to reflect not just national interests, but generational neglect. We must do better. Not only because TikTok matters—but because youth voices matter.
References
Allyn, B. (2025, April 4). Trump issues another TikTok ban extension. NPR. https://www.npr.org/2025/04/04/nx-s1-5347418/trump-tiktok-second-ban-delay
Allyn, B., & Kim, J. (2025a, January 18). Trump says he’ll likely give TikTok a 90-day extension. NPR. https://www.npr.org/2025/01/18/nx-s1-5266883/trump-tiktok-delay-ban
Allyn, B., & Kim, J. (2025b, January 19). TikTok is back online in the U.S., following Trump’s promise to pause the ban. NPR. https://www.npr.org/2025/01/19/nx-s1-5267568/tiktok-back-online
Associated Press. (2025, January 17). Supreme Court seems likely to uphold a federal law that could force TikTok to shut down on Jan. 19. AP News. https://apnews.com/article/tiktok-supreme-court-national-security
Fung, B. (2023, March 21). Lawmakers say TikTok is a national security threat, but evidence remains unclear. CNN. https://www.cnn.com/2023/03/21/tech/tiktok-security/index.html
McClain, C. (2023, December 11). A declining share of adults, and few teens, support a U.S. TikTok ban. Pew Research Center. https://www.pewresearch.org/short-reads/2023/12/11/a-declining-share-of-adults-and-few-teens-support-a-us-tiktok-ban/
Reynolds, R. (1992). Superheroes: A modern mythology. University Press of Mississippi.