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NASHVILLE — Two weeks ago, while the rest of America was absorbed by the hunt for a doomed submersible, people in Tennessee discovered that their attorney general was conducting a witch hunt.

As part of a “run of the mill” inquiry into possible billing fraud — as officials described their investigation — the attorney general’s office demanded that Vanderbilt University Medical Center hand over a vast array of documents from its clinic for gender-affirming care. According to Tennessee Lookout, a nonprofit journalism site, those documents include:

complete medical records for an undisclosed number of patients

résumés of clinic physicians

information about the clinic’s Trans Buddy volunteers

emails sent to and from a public portal for questions about L.G.B.T.Q. health

the names of people referred to the gender-affirming clinic for care

Tell me this isn’t a witch hunt. Tell me this isn’t an open campaign of terror against already vulnerable citizens who had every reason to believe that their medical records — their medical records! — were confidential and every reason to believe that the medical clinic of a major university hospital was a safe space.

During the Juneteenth holiday weekend, Vanderbilt notified patients whose confidential medical records were now in the possession of the state attorney general. The hospital has not detailed which documents it provided the state. When two Tennessee Lookout reporters, Sam Stockard and Anita Wadhwani, asked whether Vanderbilt had complied with every state request in connection with the investigation, a hospital spokesman said, “The short response to your question is no.”

State officials contend that they are investigating only the hospital and certain providers, not the patients they serve, and that all the data they’ve gathered will be kept private. But given the sweeping nature of the documents and the obsessive and relentless way that the Republican supermajority in this state — and in virtually every state governed by a Republican supermajority — has persecuted trans people, it’s impossible to trust such claims.



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