National Review | March 13, 2025
Original article can be viewed HERE

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When government censors science and medicine, patients pay the price. And censorship is frighteningly widespread today, from a humble counseling office to the upper reaches of the scientific establishment. That problem is at the heart of Chiles v. Salazar, a pivotal case that the U.S. Supreme Court agreed on March 10 to take up.

Kaley Chiles is a licensed therapist in Colorado with a mission to help troubled young people. Some clients want professional help as they try to recover comfort with the body and the sex they were born with. Even Chase Strangio, the lead ACLU advocate for childhood gender transitions, admitted to Justice Samuel Alito during December’s argument in United States v. Skrmetti that people’s understanding of their gender “shifts.” And, in the same hearing, the solicitor general of the United States noted to Justice Brett Kavanaugh that “some people might detransition or regret this care.”

They might, but Colorado wants to stop them. Colorado prohibits Kaley from talking with her clients to help them through any such “shifts” or “regrets.” As the Alliance Defending Freedom notes, Colorado’s law now “allows counseling conversations that aim to steer young people toward a gender identity different than their sex but prohibits conversations that aim to help them return to comfort with their sex when they desire that.” In addition, the state law threatens Kaley with stiff fines and even loss of her license if her conversations help a client to detransition or to reject transgender ideology. This constitutes an unwarranted state intrusion into the relationship between therapist and client, and between doctor and patient, which harms patients by compromising their autonomy. The government wants to censor speech about identity and mental health and control the narrative even inside the privacy of a therapist’s office.