I've been politely not mentioning anything about Texas to my family who chose to move there during the pandemic. Except for on the last day, I mentioned that about 30% of lyft drivers had made homophobic small talk and that I'd found one of the rides to be actually alarming. My SIL told me not to talk to drivers, ha ha, and then gave me a ride to the airport.
When I last looked, one of the bodies in the state's bicameral legislature had passed a measure outlawing all trans related medical care and the governor had pledged to sign it. I don't know if it had passed the other body or if Democrats had successfully blocked it. Whether or not it's passed/ing, it's already achieved some targets: my fear around this is an intended result.
US healthcare has changed a lot since I left due to the ACA, but it was true recently (and perhaps still is) that there was no duty of care. I can turn up to a GP's office with money and something they know how to treat and they can refuse to do it. This has happened to me in the past. In "liberal" places in the US. I've also had US doctors refuse to engage with foreign medical paperwork. (I went on tour once with an outstanding issue. Honestly, it was easier to get help for it in Russia than in the US.) Even if the bill doesn't pass, it emboldens bigots and increases hesitation from allies, another intended result.
This is germane because the surgery I'm scheduled to get has a 10% infection rate, which is high and jetlag is hardly a boost for the immune system. Again, I don't live in Texas so maybe I'm overly worried, but, as intended, I have a real fear that the medical system there would be slow or impossible to navigate and that I could actually die or face serious injury from something that stared as easy and treatable.
And, like, this wouldn't even have political value. The most I could hope for would be a passing mention in a fundraising letter.
I guess I could fly to California to see a doctor and see about travel insurance that covers medical evacuation for pre-existing conditions.
Or, if dad dies shortly after my surgery, just not go to his funeral.