Florida’s Republican Gov. Ron DeSantis and California’s Democratic Gov. Gavin Newsom will square off in a first-of-its-kind debate on Nov. 30. KFF Health News compared the political rivals’ health care positions, showing how their policies have helped — or hindered — the health of their states’ residents.
Ron DeSantis’ record as Florida governor provides some clues to how he would change the health care landscape if elected president. In his five years as governor, DeSantis has promoted stricter abortion rules and emphasized individual freedom over the benefits of public health.
As many states have moved to restrict or ban gender-affirming care for trans people, a few states, including New Mexico, have codified protections. But those laws don’t always mean accessing care is simple or quick, as a surge in new patients in the state collides with limited doctors and clinics.
New HIV infections occur disproportionately among Black women, but exclusionary marketing, fewer treatment options, and provider wariness have limited uptake of preexposure prophylaxis, or PrEP, drugs, which reduce the risk of contracting the virus.
Though never framed as a marquee issue, the topic of health care crept into the chaotic seven-way faceoff throughout the evening, highlighting Republican culture-war themes.
Pasha Wrangell has faced delays getting gender-affirming care because of red tape and limited providers. Over more than two years, Wrangell has received only about half the total electrolysis sessions recommended. Wrangell’s insurer through Medi-Cal, California’s Medicaid program, acknowledges the shortage of practitioners.
Opponents of the wave of state legislation say the measures place health providers’ preferences over patients’ rights.
Many state legislatures have passed or are considering restrictions on gender-affirming care for trans minors. Yet much of the discussion is based on misconceptions about what that care entails.
As more states restrict gender-affirming care for transgender people, some are relocating to more welcoming destinations, such as California, Illinois, Maryland, and Nevada, where they don’t have to worry about being locked out of medical care.
Josie sensed Florida lawmakers were threatening her health care and ability to be herself at school. So she left. Families of other trans youth are plotting exits as well.
