
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

The ascensions of Adolf Hitler in early 20th-century Germany and Donald Trump in 21st-century America, though separated by time and context, exhibit notable parallels in their political strategies and ideological stances. Both leaders harnessed societal unrest, employed propaganda, and targeted marginalized communities, including the LGBTQ community, to consolidate power. This analysis explores these similarities, with a focus on recent actions by the Trump administration in 2025, including its stance on LGBTQ rights and authoritarian tendencies. By examining the historical trajectories of both leaders, this post reflects on the potential implications for American democracy and the importance of safeguarding human rights.
The Rise of Competitive Authoritarianism in America Under Trump’s Second Term
By Katherine Walter
On April 23, 2025
In Donald Trump
WASHINGTON, DISTRICT OF COLUMBIA, UNITED STATES – 2024/04/25: An activist holding a sign with Save Our Democracy written on it stands outside the US Supreme Court, as the court prepares to hear arguments on the immunity of former US President Donald Trump in Washington, DC. (Photo by Probal Rashid/LightRocket via Getty Images)
The erosion of democratic norms in the United States has become increasingly evident during President Donald Trump’s second term in office. While formal democratic institutions still exist—elections are held, opposition parties campaign, and courts operate—the substance of democratic governance is steadily being hollowed out. This phenomenon, known as “competitive authoritarianism,” describes a regime type where democratic structures are maintained in name but systematically subverted in practice. The United States, once a model liberal democracy, is beginning to exhibit the core traits of such regimes, and political scientists are issuing increasingly urgent warnings.
Competitive authoritarianism, as defined by political scientists Steven Levitsky and Lucan Way, is a hybrid regime that blends formal democratic institutions with authoritarian behavior. It allows for elections and political opposition but ensures that incumbents enjoy unfair advantages and engage in systematic efforts to undercut political competition (Levitsky & Way, 2010). What sets these regimes apart from outright dictatorships is the preservation of the outward trappings of democracy. What distinguishes them from genuine democracies, however, is the deliberate weakening of institutions meant to ensure accountability, transparency, and fairness.
Recent surveys reveal that political scientists overwhelmingly believe the U.S. is moving in the wrong direction. Bright Line Watch, a nonpartisan organization that assesses the health of American democracy through surveys of political science scholars, found a sharp drop in expert evaluations of the nation’s democratic functioning following Trump’s re-election in 2024. Their Democracy Rating, which scored the U.S. at 67 out of 100 just prior to the November election, plunged to 55 within weeks after the new administration took office (Carey, 2025). John Carey, one of the project’s co-directors, remarked that the decline is unparalleled in the project’s history and reflects deepening concerns among scholars that the country is transitioning away from liberal democratic norms.
Indeed, many of the mechanisms of democratic backsliding are now visible. There has been a notable decline in the independence of the judiciary. Courts are increasingly seen as obstacles to be circumvented or delegitimized rather than respected. The administration’s open hostility toward judges who rule against its interests, and its efforts to ignore or delay implementation of adverse rulings, weakens the judiciary’s role as a check on executive overreach (Davies, 2025). In authoritarian regimes, the erosion of judicial independence is a common step toward consolidating power, and the United States appears to be following this well-worn path.
Control over information is another hallmark of competitive authoritarianism, and here, too, the Trump administration has made significant inroads. Efforts to delegitimize critical media, restrict press access, and promote alternative narratives through state-aligned media channels have intensified. Rather than treating journalists as watchdogs of democracy, the administration has cast them as enemies of the state, a tactic historically used by authoritarian leaders to erode public trust in independent reporting (Vanity Fair, 2025). Meanwhile, whistleblowers and dissenting voices within federal agencies face unprecedented retaliation, creating a chilling effect on those who might speak out against abuses of power.
Perhaps most telling is the administration’s brazen politicization of independent institutions. Agencies like the Department of Justice, which are meant to operate without partisan interference, have been systematically filled with loyalists. These appointees often demonstrate an unwavering allegiance to Trump himself rather than to the rule of law or democratic principles. The result is an executive branch that no longer merely implements policy but acts as an instrument of partisan enforcement and retribution (AP News, 2025). In such an environment, the rule of law becomes a weapon wielded selectively rather than a standard applied equally.
The ideological framework behind this shift is equally alarming. Influential figures within Trump’s inner circle, including J.D. Vance and Stephen Miller, advocate for what they term “post-liberal” governance. This philosophy openly rejects pluralism and treats democratic norms as expendable if they stand in the way of achieving right-wing political dominance. Rather than being embarrassed by authoritarian tactics, these actors embrace them as tools to achieve what they view as a higher cultural or political mission. The executive power grab is not accidental but rather a deliberate effort to reshape the United States into a regime that structurally favors one ideological faction (The Atlantic, 2025).
Even academia is under assault. Universities that have resisted administration pressure to eliminate diversity, equity, and inclusion (DEI) initiatives have faced funding threats. Harvard University, for example, had $2.2 billion in federal grants frozen in retaliation for refusing to remove certain DEI programs (The Guardian, 2025). This effort to discipline institutions of higher learning is not merely symbolic. It signals an authoritarian desire to exert control over the production of knowledge and stifle ideological diversity.
Political scientists like Steven Levitsky, who have long studied democratic erosion in other parts of the world, now assert that the United States itself is no longer a full democracy. As Levitsky told NPR, “We are no longer living in a democratic regime” (Davies, 2025). Such a statement, unthinkable even a few years ago, now feels tragically plausible.
The descent into competitive authoritarianism is not inevitable, but it is advancing. If Americans—citizens, scholars, journalists, and public servants alike—fail to defend democratic principles with vigilance and moral clarity, they may soon find that the institutions they took for granted no longer offer any protection. Competitive authoritarianism thrives not in moments of crisis alone, but in the slow, grinding normalization of anti-democratic practices. The United States must wake up to the danger it now faces. The time for complacency has long passed.
References
Carey, J. (2025, April 22). Hundreds of scholars say U.S. is swiftly heading toward authoritarianism. NPR. https://www.npr.org/2025/04/22/nx-s1-5340753/trump-democracy-authoritarianism-competive-survey-political-scientist
Davies, D. (2025, April 22). America’s path to ‘competitive authoritarianism’: Political scientist warns U.S. democracy is unraveling. NPR. https://www.npr.org/2025/04/22/1246322283/levitsky-harvard-democracy
Levitsky, S., & Way, L. A. (2010). Competitive authoritarianism: Hybrid regimes after the Cold War. Cambridge University Press.
The Atlantic. (2025, April 17). A loophole that would swallow the Constitution. https://www.theatlantic.com/politics/archive/2025/04/trump-constitution-abrego-garcia/682487/
The Guardian. (2025, April 20). The Trump-Harvard showdown is the latest front in a long conservative war against academia. https://www.theguardian.com/us-news/2025/apr/20/harvard-trump-conservative-history-academia
Vanity Fair. (2025, April 23). Trump’s attacks on press freedom are paving the way for authoritarianism. https://www.vanityfair.com/news/story/trump-press-freedom-authoritarianism
AP News. (2025, March 15). Trump’s moves test the limits of presidential power and the resilience of US democracy. https://apnews.com/article/542ac437a58880e81c052f8f2df1643f