Opinions
Cruising the high seas: from Italy to the U.S.
Adventures abound on Celebrity ASCENT
Blade contributor Peter Rosenstein is crossing the Atlantic on the Celebrity ASCENT. He filed these dispatches from his journey.
Blog # 1- 2025 Celebrity ASCENT transatlantic cruise
Spent two great days in Rome. I don’t sleep on planes so the first morning was kind of a blur. I had arranged for a taxi from the airport, which worked well, and arrived at my hotel, the Nuova Nord, near the train station, about 10:00am. Check in time is officially 4:00pm but I lucked out, and got into my room by 10:30. This just added to my feeling good about the hotel, along with the $115 a night cost, including breakfast. So put my suitcase in the room and headed out to walk around Rome. My first stop as usual in Rome was the Trevi Fountain, which I love. Once there, did what I always do to get a great picture. Headed across the street from the fountain to the second floor of Benetton. They still have one window that remains clear, and you get the best picture above the crowds. Then I kept walking past the Coliseum, and eventually over toward the Vatican. I had made plans in advance to have dinner with Samantha Basar the new staff addition to My Lux Cruise travel agents, and Jill Lotenberg. Jill is an amazing professional photographer, and documents the cruises we go on. We had a nice early relaxed dinner, and after walking it off, I was back at my hotel before 8:00pm for a good night’s sleep.
The next morning met a D.C. friend, John, who just happened to be in Rome visiting his parents. John’s mom is Italian, and I was surprised to find he speaks the language fluently. We went for coffee at 11:00am at a café he likes near the Pantheon. He swore by their coffee and pastry, and he was right, it was really good. Then we spent a few hours walking the city, and ended up at the Basilica di Santa Maria Maggiore to see the tomb of Pope Francis. There was a long line but it moved really fast, and the tomb is like the former Pope, very simple, but truly impressive. After that John found a scooter to ride back to meet his parents. I think it took a lot of guts to ride a scooter into Rome traffic. I spent a little more time walking around. It was going to be an early night with some pizza for dinner.
The next morning, I headed over to the UNA hotel, just a couple of blocks away, to meet the bus arranged to take my group to Civitavecchia, the port about an hour out of Rome, where we boarded the Celebrity ASCENT, our home for the next thirteen days. That all went really smoothly, and I was onboard, in my stateroom, before 11:00 AM. Then it was meeting my butler, yes, I have one, as does everyone in the Retreat, and also met my very charming room attendant, who had made sure my bedding was all hypoallergenic. Then walked around the ship to see if there were any changes since my cruise last year. There didn’t seem to be any. Then at 4:30 headed to the sail-away party Dustin and Scott, my favorite travel agents, had prepared for our group in their suite, the Iconic Suite, to meet old and new friends. We left port a little late as there apparently was a medical emergency even before we left port, and an ambulance was called to take someone off the ship. Turned out it was a member of our group, but thankfully he is ok. When we finally set sail, we all headed to the first of the nightly, listed in the daily newsletter, as the LGBTQIA+ get togethers, in the Eden lounge. There were more people there than we expected, and it was nice to meet more new cruisers from both the States and Europe. Then it was off to my first dinner onboard, at the Rooftop grill, with Michael Magee and his friends, most of them new to me. It was a nice evening, and the baked cookie with vanilla ice cream, the main reason to eat at that restaurant, didn’t disappoint. Then it was back to my cabin for some sleep as I had an early tour booked the next morning in Cagliari, Sardinia.
Day 2 began in an interesting way. Hope it doesn’t portend anything, but early morning the Captain announced we would be getting to Cagliari about 30 minutes late as there was another medical emergency on the ship, and he had to divert closer to shore to let the Italian Coast Guard take the person off the ship. Hopefully he/she will be ok.
We finally docked in Cagliari, and I headed to meet the bus for my tour. It was a four-hour City Highlights tour. We drove around the Island and then had some time to walk the city center. It included stops at the museum, and we saw some beautiful old churches. It is a beautiful city. The tour guide was a very nice woman but talked incessantly, never feeling the need to take a breath, lol, and her voice was a little hard to take in our ears from the little gizmos we each had. I kidded about it with two nice guys I met on the tour from Vancouver, Canada, who agreed with me. Then it was back to the ship and some relaxing time on the Retreat sundeck, a cappuccino in the retreat lounge, and then the second LGBTQIA+ happy hour. Then dinner with Scott, Dustin, and Rick, in Luminae restaurant, the Retreat restaurant. Not an auspicious start for their menu, as the steak was close to inedible. But the charming staff, and chocolate desert, made up for that. Then it was off to the day after Halloween party the ship threw, and saw some incredible costumes. Then to bed after a great first full day, day two according to Celebrity, of the cruise.
Blog # 2- 2025 Celebrity ASCENT transatlantic cruise
Day 3 was a sea day. We were heading from Cagliari to Gibraltar. It is days like this why I go on my transatlantic cruises. I love being on the water. Spent some time in the morning writing and then headed to the gym for the first time. I hope to go there for at least an hour each day. A half hour on the lifecycle and then another thirty minutes with some weights and machines. It is great to sit on the lifecycle looking out at the ocean, instead of the wall I look at when using it at my home gym. I then headed to the Retreat lounge for my cappuccino and then up to the sun deck. It was very windy but I found a place out of the wind to sit and read. Then back to the Retreat lounge where I am having this running argument with the retreat managers, trying to get them to help me with my WIFI. Seems this year the powers that be don’t want to give me access to my phone and the computer, at the same time, without an extra charge. Just typical of what we are seeing on the cruise by Celebrity, think it may also be on other lines, of the nickel-and-diming of passengers. Other than that, things have been good, LOL. Then headed down to deck 4 and Café al Bacio, where I enjoy going for a light lunch.
They have these great little sandwiches, and some more good cappuccino. By this time, I am getting the decaffeinated kind. I met Jill Lotenberg there, our group photographer. She is a professional photographer who is related to Scott, my travel agent, and joins us on the cruises to document them. She is so fun to chat with. Also there, sitting somewhere else, was Samantha. The day went by lazily and then it was time for the LGBTQIA happy hour. There I met Michael Magee, and some other friends, and we decided to do Luminae for dinner, and the late show in the theater. It was Bridges. I had seen it before on a previous cruise, and it was just as great. Incredible talent on the ship. Before the show the Captains, yes there are two, and they are brothers. Celebrity assigned them both to the ASCENT as a PR gimmick when the ship was launched. They just happened to be together on this cruise heading back to the states. They spoke to the audience, and could make good money as a comedy act if they get tired of being captains. They are both charming and funny. After the show I walked around the ship for a bit, heading to the Martini bar just to look around and then it was off to my stateroom for a good night’s sleep.
Day 4 dawned nice and as usual I was up early with coffee delivered to the room. We were going to be docking in Gibraltar by 9:00am. I had a decision to make as to whether I would head into town after we docked, or just stay on the ship. Since I have been to Gibraltar a few times before, enjoying the monkeys there, I decided to stay on the ship. It’s always nice when the ship empties out. After a couple of hours of writing I headed to the gym and it was totally empty. So, no wait for a lifecycle or any other equipment today. Then it was off to the Retreat lounge and my cappuccino. The weather was great so headed to deck 17, the upper deck of the Retreat sun deck, found a nice lounge chair, and kicked back with my kindle and relaxed for a couple of hours. Then back to the stateroom to write for a bit, and get ready for the happy hour. Scott and Dustin had arranged for us to get early access to The Club to see the early show there, Smoke and Ivories. Again, have seen it before, but it is great and will see it again later in the cruise. I sat next to a gentleman who was saving two seats for friends. After a bit I began chatting with him and found out his son was in the show. His son is the dance captain, and an amazing tap dancer. His name is Britton, and I hope to interview him later during the cruise. He is only twenty-one and has been dancing professionally for three years. He was just given another year contract with Celebrity so will be on its newest ship, the XCEL, when I am on it for my 2026 transatlantic cruise. After the show a few of us headed to Luminae for dinner. Then there was a Pride Party in the Eden lounge to end the day on a great note. Now I could look forward to the next six days at sea as we head to Bermuda.
Blog #3 2025 Celebrity ASCENT transatlantic cruise
Day 5 dawned sunny but windy and the ship was rocking a little. I am lucky that it doesn’t really bother me too much at this time. Hoping it doesn’t get much worse. But again, not a day to sit on the sundeck. So, my usual coffee and breakfast delivered to the room, and a few hours of writing. Today I was drafting the column I would submit to the Blade tomorrow morning, after I saw the results of the election. Tuesday was going to be an important election in a number of states including Governor’s races in Virginia and New Jersey, the vote on proposition 50 in California, votes on Supreme Court Justices in Pennsylvania, the Mayor’s race in New York, and some statewide races in Georgia. My draft took the position that Democrats would win them all, might as well be positive. Then I headed to the gym for my hour of penance for all that I am eating. After that I got in touch with Cheryl and Jeff, childhood friends, who I knew would be on this cruise. We met at 1:00pm at the buffet for lunch and sat and talked until 4:00, it was great. Hope to get together with them again for dinner during the cruise. After that it was time to head back to the stateroom, shower and get ready for happy hour. We hung out there longer because Rick told us there was an entertainer named Tom who would be playing at 7:00pm. Turned out he had the wrong Tom. So, a group of us headed to dinner at Raw on Five, the sushi bar. Always good to eat there before too late in the cruise for the fresher fish. The company was great, but unfortunately couldn’t say the same for the food which I thought was not as good as on past cruises. After dinner I headed back to the stateroom and prepared to be up late waiting for election results. We are now four hours ahead of D.C. time, we have been setting our clocks back an hour a night on the ship for the past two days. So, Virginia polls closed at 7:00pm and I could start seeing results sometime after 11:00. They were coming in fast after that and all being great. So, my draft was right on target. I finally turned off the light at about 2:00am. Day 6 dawned rockier than yesterday. I was up early and finalizing my column to send to Kevin Naff at the Blade for Friday’s issue. It felt good to be sending such a positive column to him as Democrats had won big in all the key elections. I thought of last year when I was on a cruise when the felon won the White House and how depressed I was. After sending the column I headed to the gym. I had booked a behind the scenes tour of the theater and that was fun. I met Britton and his dad there. Britton had brought his dad for the tour and told me he would be dancing on the main stage on the XCEL. From there headed to Café al Bacio for a light lunch and then tired from lack of sleep last night, just went back to the stateroom and relaxed all afternoon until it was time for happy hour. Britton reminded me he and the Eden production cast would be performing in the Eden lounge this evening in the show, Wonder at Eden: Allure. I was hoping the ship wouldn’t be rocking too much for the show to go on. I actually felt sick at dinner, but think it was from something I ate at. I went back to the stateroom for an your but then felt better and headed to the show in Eden. It was great. It revolved around an artist who did a painting during the show with the cast at times holding his canvas. His name is Paris and he is amazing. I hope to chat with him more in the coming days. Then it was back to the stateroom and a good night’s sleep.
Day 7 dawned windy but warm. It was going to be a really lazy sea day. My favorite kind of day. Coffee delivered to the room, then the gym, then cappuccino in the retreat lounge. I headed to the sundeck but it was a little to windy to stay long. So some more writing, finally getting a start on my next book. I was working on the introduction to what the draft title is, From Camelot to Fascism in 65 short years. I then drafted a column on Jill Lotenberg our group photographer, but who is so much more than that. At 4:00pm headed to the iconic suite for Scott and Dustin’s second party of the cruise. This one was even larger as they invited people beyond our group and it was really nice. After that my plans for the evening included meeting Denis and Jonathan to head to the early show at the theater. It was Karen Grainger who is a great singer and is able to assume the voices of so many other singers like Cher and Streisand. Then it was of to Eden for a wonderful dinner. Celebrity will do away with this restaurant on the new XCEL.
That is sad as many think it is actually the best restaurant on the ship. After that it was off to sleep. We weren’t going to be setting our clocks back an hour as we had the past few nights.
Blog #4 2025 Celebrity ASCENT transatlantic cruise
Day 8 dawned grey and very rocky. The room was making all kinds of noises. But life on the ship remains the same for me, at least for my morning routine of having coffee delivered to the room, and then sitting down to write. I felt like I may be getting the beginning of a slight cold so would wait awhile till I decided if I could skip the gym for the day. No rush, as there was nothing else on the agenda.
In general, the sea days for me, as they say, are rinse-and-repeat. Turned out I did go to the gym, and then headed to the 2:30 show in the theater which was take two on Karen Grainger. She really is quite good and this afternoon she did her impressions of a new group of singers. As she says, she is an impressionist, not an impersonator. I think the show could be improved if she had pictures of the women in whose voice she is singing on the big screen behind her. There were clearly some in the audience who weren’t quite sure, especially of the women whose voices are not as distinctive. Now there was no mistaking when she sang in the voice of Cher, Streisand, or Janice Joplin. Again, she is really good. One of the members of our group, Michael Magee, had planned a caftan bar crawl. Dress up in a caftan, and stop at a series of the bars on board, and drink at each. I did pass on that, not really a costume person, or a big drinker, but did meet up with them at the LGBTQ happy hour and they looked great, and happy after all the booze. Then it was dinner at Luminae, and for me, an early night. On my way back to my cabin I bumped into Paris, the artist from the show at Eden the night before, and we reconfirmed we would get together with in the next couple of days for coffee. The daily newsletter on my bed when I got back to my cabin confirmed we gained another hour tonight so by the morning we would only be two hours ahead of the East Coast.
Day 9 dawned a little cloudy but a little less rocky. I was able to spend some time on the Retreat sundeck in the afternoon and had lunch there. Based on the daily newsletter there were two events I wanted to go to during the day. I first went to the gym to sit on the lifecycle, actually peddling while sitting there. Then I went to the afternoon show in The Club, A Tribute to Adele, by Molly Kane. She is great. Molly is part of the cast in the main theater, but based on this show she should be a headliner all on her own. Darren, the Cruise Director, gave her this opportunity and it was the smart thing to do. He is clearly a good judge of talent. Then at 5:00 I headed back to The Club for a Senior Officer Party, for Elite status guests. I have that status based on how many cruises I have been on. It doesn’t get me much, but the most important benefit is free laundry. From there it was off to the LGBTQ happy hour in the Eden lounge and then dinner in Luminae. After dinner most of my dinner companions headed to their cabins, but I went back to the Eden lounge for the 10:15 show, Wonder at Eden: Shimmerbox, with the Eden show cast. It was really good, and all the dancers, including dance captain, Britton, are great. There was a funny scene there with a woman who has her dog with her, saving seats and pretending the people were just in the bathroom. Well after an hour I spoke to her and she wasn’t happy I said something about not being able to reserve seats for that long. Then another woman went and removed her bag and sat down and got an ovation from a big part of the crowd. After the show it was back to my cabin. Still fairly early as we turned our clocks back another hour this evening. So now when I wake up will only be one hour ahead of D.C. time. Tomorrow is another sea day, and then Monday, we reach Bermuda.
Blog #5 2025 Celebrity ASCENT transatlantic cruise
Day 10 dawned gray, warm, with pretty smooth seas. A nice start to the last of the six sea days from Gibraltar to Bermuda. I have enjoyed each of them. We gained another hour last night so even though I got back to my cabin around 11:30 still had a good night’s sleep before coffee was delivered early.
I edited, and sent my regular weekly column to the Blade, and then edited the first four of my blogs, and sent them off as well. That felt really good. Then got ready for another relaxed day. I headed to the gym for my time on the lifecycle, and a few weights, and then to the Retreat lounge for my cappuccino. I bumped into Kenny Silverman there who was working and planned to head to the sundeck. But slowly the clouds moved in and the rain began. So that ended my immediate plans. Just stayed longer in the lounge reading and then headed to Café al Baccio for lunch. Those little sandwiches and a piece of marble poundcake hit the mark. The day was going to be reading and writing, and I admit, an afternoon nap. Life is so hard on the ship. Then it was off to the LGBTQ happy hour and a glass of wine. Four of us decided we would try to go to Blue restaurant. I had never eaten there in all my cruises. It was really good. Clean and healthy food. I had a great roasted turkey salad, and it was better than either of the steaks I had tried at Luminae. I followed that with chocolate and praline ice cream, what could be better. After that we headed to the theater to see Awaken on the main theater stage. It was great. The cast is so uniformly talented. Then for me it was back to the cabin ending a great day. We were now heading to Bermuda, and land, for the first time in days. The weather forecast was for nice sunny weather, but windy.
Day 11 dawned mostly clear and sunny. We were close to Bermuda when I got up at sunrise at 6:30 am. We docked at The Royal Naval Dockyard at 8:00am, right on time. The sun was out, it was 75 degrees, and thus far, much less windy than predicted. I got my coffee delivered and sat down to write. I had not booked any excursions for the day as I had been to Bermuda three times before. As I kidded friends, unless I was invited to Bloomberg’s or Oprah’s home, there was nothing really new, I hadn’t seen on the Island. It is a beautiful place. Hamilton, the capital is great. I ended up deciding to go to the gym around 10:30 and it was empty. There were only two other people there. So, I did my lifecycle and then some weights. Then decided to leave the ship and walk around the dock for an hour and look at some of the shops, and get more steps in. It was beautiful and sunny, but the wind was picking up, but nice none-the-less. Then got back on the ship and headed to Café al Baccio where I ran into Mark and Jay. They went for a drink, and I had my cappuccino. There was an early sail-away party at Scott and Dustin’s Iconic suite at 3:30. It was really nice, and Jill took her usual group picture. Met a couple of people I hadn’t met before.
Then it was off to the LGBTQ happy hour, and the hard decision of the day. What show to see, and should it be before, of after, dinner. After much angst, a group of us including Michael Magee, Denis and Jonathan, Mark and Jay and Diane, decided to go to dinner first at Luminae, they were serving lobster, and a later show. Michael, Denis, and I, decided to go see the 9:15 show at The Club, Smoke and Ivories. We had to line up by 8:15 to get front row seats, which Denis and I did. I had seen the show before but it was just as great the second time. After the show I headed back to my cabin for the evening. We would now look toward two more sea days as we head to Ft. Lauderdale.
Blog #6 2025 Celebrity ASCENT transatlantic cruise
Day 12 dawned fairly warm, but with a little bit rocky sea, and it got worse in the next few hours. As usual, I had my coffee delivered, and relaxed on the couch watching MSNBC. It is one of the channels available. Others include FOX, and the BBC. Watching MSNBC during the cruise reinforces my reasons for never watching it at home. It is Veterans Day and I thought about all my friends who have served our nation, and put a post on FB thanking them. I thought about my dad who had served in WW II, where he earned a Bronze Star. Like so many of his generation he never spoke of his time in the service.
It was going to be a lazy day. Writing, gym, eating, happy hour, eating again, and some entertainment. The tough life of the cruise passenger on the Celebrity ASCENT. I had gotten my laundry back last night, so had a clean t-shirt for the gym. Again, one of the only benefits of Elite status I use is the free bag of laundry. The sea got rockier as the day went on, so not all that comfortable walking around. I went to the LGBTQ happy hour, where Jill took a group photo. I went to dinner at Luminae with Jay and Mark, and it was fun with great conversation. They are really interesting guys and live fulltime in Las Vegas. After dinner I walked around a little but it was still rocky so ended up heading back to the cabin early. Hoping tomorrow will be smoother sailing.
Day 13. Well, the Captain kept his promise, and it was smoother sailing for our last day at sea, on the way to Ft. Lauderdale. I had coffee delivered, but then went to the buffet at 9:30 to meet my friends Cheryl and Jeff. After that, made my last visit to the ship’s gym to sit on the lifecycle and do a few weights. Then it was off to the Retreat lounge for my cappuccino. The rest of the afternoon would be lazy. I packed before I headed to LGBTQ happy hour and met nine friends there who I joined for dinner at the Rooftop Garden Grill. Can’t leave without another baked chocolate chip cookie and vanilla ice cream. After dinner some of us headed to the theater for the final show, Residency. I was not overly impressed. The cast individually was good, but the production wasn’t anything special. Then back to the cabin to close up my suitcases and get a few hours of sleep. My alarm is set for 5:30 and will head to the Fine Cut Steakhouse at 6:15am to walk off the ship, taking my own luggage, and head to the airport. I lucked out, and my flight was on time, and even arrived back in DC fifteen minutes early.
It was another great trip with great friends. Generally, the crew is amazing. They can’t do enough for you, and always have a smile on their face. They work really hard. The only cog in the wheel for me who blogs, and writes, from the ship was the intransigence of not allowing me to have both my phone and computer connected to WIFI at the same time. That has never been an issue before. But I found the Hotel Director on the ship for this crossing, Danuta Nosidlak, was both rude, and then when she said she would look into it, I never heard from her. When I confronted her, she asked, “didn’t someone contact you?” and when I said no, she appeared not to care. It may seem minor, but when you pay for two people at the Retreat price, and are only one in the cabin, and give a lot of publicity to Celebrity as I have over the years, I do expect at least a little more courtesy. Again, that didn’t take away from how great the Celebrity ASCENT is as a ship. The captains, brothers, were great, and kept every one entertained throughout the cruise. They could make money as a comedy act. So now I wait for next year, when my transatlantic cruise will be on the Celebrity XCEL out of Barcelona, on October 23rd.

Commentary
America is going in the wrong direction for intersex children
Lawmakers are criminalizing care for trans youth, while permitting irreversible harm to intersex babies
I live with the consequences of what America is willing to condone in the name of “protecting children.”
When I was young, doctors and adults made irreversible decisions about my body without my informed consent. They weren’t responding to an emergency. They were responding to discomfort with innate physical differences and the social and medical pressure to make a child’s body conform to a rigid female-male binary. That’s the part people like to skip over when they talk about “child welfare”: the harm didn’t begin with my identity. It started with adults deciding my healthy body needed fixing.
That’s why the hypocrisy unfolding right now from statehouses to Capitol Hill feels so familiar, and so dangerous.
While harmful medical practices on intersex children, the nearly 2 percent born with differences in one or more of their physical sex characteristics, have been ongoing in the U.S. for decades, until recently, there was no law specifically condoning it.
This month, House Republicans passed one of the most extreme anti-trans bills in modern American history, advancing legislation that would criminalize gender-affirming medical care for transgender youth and threaten doctors with severe penalties for providing evidence-based treatment. The bill is framed as a measure to “protect children,” but in reality, it weaponizes the criminal legal system against families and providers who are trying to support young people in surviving adolescence.
At the same time, the administration has proposed hospital and insurance policies designed to choke off access to affirming care for trans youth nationwide by making providers fear loss of federal funding, regulatory retaliation, or prosecution. This is a familiar strategy: don’t just ban care outright; instead, make it so risky that hospitals stop providing it altogether. The result is the same everywhere. Young people lose access to care that major medical associations agree can be lifesaving.
All of this is happening under the banner of preventing “irreversible harm.”
But if America were genuinely concerned about irreversible harm to minors, the first thing lawmakers would address is the medically unnecessary, nonconsensual surgeries still performed on intersex infants and young children, procedures that permanently alter healthy tissue, often without urgent medical need, and long before a child can meaningfully participate in the decision. Human rights organizations have documented for years how these interventions are justified not by medical necessity, but by social pressure to make bodies appear more typically “female” or “male.”
Here is the uncomfortable truth: all of the state laws now banning gender-affirming care for transgender youth explicitly include exceptions that allow nonconsensual and harmful intersex surgeries to continue.
A recent JAMA Health Forum analysis found that 28 states have enacted bans on gender-affirming care for minors that carve out intersex exceptions, preserving doctors’ ability to perform irreversible “normalizing” procedures on intersex children even while prohibiting affirming care for trans adolescents.
This contradiction is not accidental. It reveals the real priority behind these laws.
If the goal were truly to protect children from irreversible medical interventions, intersex kids would be protected first. Instead, these policies target one group of children, transgender youth, while continuing to permit permanent interventions on another group whose bodies challenge the same rigid sex and gender binary that lawmakers are trying to enforce.
Intersex people are routinely erased from American policy debates, except when our bodies are invoked to justify harmful laws, warning that intersex children are being used as legal loopholes rather than protected as human beings. This “protect the children” rhetoric is routinely deployed to justify state control over bodies, while preserving medical practices that stripped intersex children like me of autonomy, good health, and choice. Those harms are not theoretical. They are lifelong.
What makes this moment even more jarring is that the federal government had finally begun to recognize intersex people and attempt to address the harms suffered.
In 2024, at the very end of his term, the Biden administration released the first-ever intersex health equity report — a landmark admission that intersex people have been harmed by the U.S. health care system. Issued by the Department of Health and Human Services, the report documents medically unnecessary interventions, lack of informed consent, and systemic erasure and recommends delaying irreversible procedures until individuals can meaningfully participate in decisions about their own bodies.
This should have been a turning point. Instead, America is moving in the opposite direction.
On day one, President Trump issued an executive order defining “sex” in a way attempting to delegitimize the existence of transgender Americans that also erased the existence of many intersex people.
When medicine is used to erase difference, it is called protection, while care that supports self-understanding is treated as a threat. This is not about medicine. It is about control.
You cannot claim to oppose irreversible harm to children while legally permitting surgeries that intersex adults and human rights experts have condemned for decades. You cannot claim to respect bodily autonomy while denying it selectively, based on whose bodies make lawmakers uncomfortable.
Protecting children means protecting all children, transgender, intersex, and cisgender alike. It means delaying irreversible interventions when they are not medically necessary. It means trusting and supporting young people and families over politicians chasing culture-war victories.
America can continue down the path of criminalizing care for some children while sanctioning harm to others, or it can finally listen to the people who have lived the consequences.
Intersex children deserve laws that protect their bodies, not politics that hurt and erase them.
Kimberly Zieselman is a human rights advocate and the author of “XOXY: A Memoir”. The author is a co-author of the JAMA Health Forum article cited, which examined state laws restricting gender-affirming care.
Opinions
New research shows coming out is still risky
A time of profound psychological vulnerability
Coming out is often celebrated as a joyful milestone – a moment of truth, pride, and liberation. For many LGBTQ+ people, that’s exactly what it becomes. But new research I co-authored, published in the journal Pediatrics this month, shows that the period surrounding a young person’s first disclosure of their sexual identity is also a time of profound psychological vulnerability. It’s a fragile window we are not adequately protecting.
Using data from a national sample of lesbian, gay, and bisexual people, our study examined what happens in the years before and after someone comes out to a family member or a straight friend. We weren’t looking at broad lifetime trends or comparing LGBTQ+ youth to heterosexual peers. Instead, we looked within each person’s life. We wanted to understand how their own suicide risk changed around the moment they first disclosed who they are.
The results were unmistakable. In the year a person came out, their likelihood of having suicidal thoughts, developing a suicide plan, or attempting suicide increased sharply. Those increases were not small. Suicide planning rose by 10 to 12 percentage points. Suicide attempts increased by 6 percentage points. And the elevated risk didn’t fade quickly. It continued in the years that followed.
I want to be very clear about what these results mean: coming out itself is not the cause of suicidality. The act of disclosure does not harm young people. What harms them is the fear of rejection, the stress of navigating relationships that suddenly feel uncertain, and the emotional fallout when people they love respond with confusion, disapproval, or hostility.
In other words, young LGBTQ+ people are not inherently vulnerable. We make them vulnerable.
And this is happening even as our culture has grown more affirming, at least on the surface. One of the most surprising findings in our study was that younger generations showed larger increases in suicide risk around coming out compared to older generations. These are young people who grew up with marriage equality, LGBTQ+ celebrities, Pride flags in classrooms, and messaging that “it gets better.”
So why are they struggling more?
I think it’s, in part, because expectations have changed. When a young person grows up hearing that their community is increasingly accepted, they may expect support from family and friends. When that support does not come, or comes with hesitation, discomfort, or mixed messages, the disappointment is often devastating. Visibility without security can intensify vulnerability.
Compounding this vulnerability is the broader political environment. Over the last several years, LGBTQ+ youth have watched adults in positions of power debate their legitimacy, restrict their rights, and question their place in schools, sports, and even their own families. While our study did not analyze political factors directly, it is impossible to separate individual experiences from a climate that routinely targets LGBTQ+ young people in legislative hearings, news cycles, and social media.
When you’re 14 or 15 years old and deciding who to tell about your identity, the world around you matters.
But the most important takeaway from our study is this: support is important. The presence, or absence of family acceptance is typically one of the strongest predictors of whether young people thrive after coming out. Research consistently shows that when parents respond with love, curiosity, and affirmation, young people experience better mental health, stronger resilience, and lower suicide risk. When families reject their children, the consequences can be life-threatening.
Support doesn’t require perfect language or expertise. It requires listening. It requires pausing before reacting out of fear or unfamiliarity. It requires recognizing that a young person coming out is not asking you to change everything about your beliefs. They’re asking you to hold them through one of the most vulnerable moments of their life.
Schools, too, have an enormous role to play. LGBTQ+-inclusive curricula, student groups, and clear protections against harassment create safer environments for disclosure.
Health care settings must also do better. Providers should routinely screen for mental health needs among LGBTQ+ youth, especially around the time of identity disclosure, and offer culturally competent care.
And as a community, we need to tell a more honest story about coming out. Yes, it can be liberating. Yes, it can be beautiful. But it can also be terrifying. Instead of pretending it’s always a rainbow-filled rite of passage, we must acknowledge its risks and surround young people with the support they deserve.
Coming out should not be a crisis moment. It should not be a turning point toward despair. If anything, it should be the beginning of a young person’s journey toward authenticity and joy.
That future is possible. But it depends on all of us – parents, educators, clinicians, policymakers, and LGBTQ+ adults ourselves – committing to make acceptance a daily practice.
Young LGBTQ+ people are watching. And in the moment they need us most, they must not fall into silence or struggle alone.
Harry Barbee, Ph.D., is an assistant professor at the Johns Hopkins Bloomberg School of Public Health. Their research and teaching focus on LGBTQ+ health, aging, and public policy.
Letter-to-the-Editor
Candidates should pledge to nominate LGBTQ judge to Supreme Court
Presidential, Senate hopefuls need to go on the record
As soon as the final votes are cast and counted and verified after the November 2026 elections are over, the 2028 presidential cycle will begin in earnest. Polls, financial aid requests, and volunteer opportunities ad infinitum will flood the public and personal media. There will be more issues than candidates in both parties. The rending of garments and mudslinging will be both interesting and maybe even amusing as citizens will watch how candidates react to each and every issue of the day.
There is one particular item that I am hoping each candidate will be asked whether in private or in public. If a Supreme Court vacancy occurs in your potential administration, will you nominate an open and qualified LGBTQ to join the remaining eight?
Other interest groups on both sides have made similar demands over the years and have had them honored. Is it not time that our voices are raised as well? There are several already sitting judges on both state and federal benches that have either been elected statewide or approved by the U.S. Senate.
Our communities are being utilized and abused on judicial menus. Enough already! Challenge each and every candidate, regardless of their party with our honest question and see if honest answers are given. By the way … no harm in asking the one-third of the U.S. Senate candidates too who will be on ballots. Looking forward to any candidate tap dancing!
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