Stephan:   I have been friends, and have worked with a number of gay and lesbian individuals, and one trans-woman, and from all of them I have learned that the issue of gender is a complicated and painful one beginning with puberty for those who are in that world. Not a single friend in the LGBTQ community ever told me that their sexuality, let alone their gender presentation, was something they chose. I find the MAGAt Republican obsession with denying these individuals support to be not just mentally deranged, destructive of wellbeing, but deeply nasty. There is, I think, something else going on as well. The Dobbs decision and the state laws that followed are driving doctors, nurses, and, by this report, whole families out of states controlled by MAGAt Republicans. Particularly in rural areas, I think this is going to mean a real degradation of healthcare in those Red states, as well as the loss of many well-educated citizens. This is all part of the Great Schism Trend that is creating two different societies in the same nation.