The Guardian (USA)

Trans doctor Rachel Levine faces historic Senate confirmati­on hearing

- Ed Pilkington in New York

Dr Rachel Levine, a pediatrici­an and health official from Pennsylvan­ia, faced a Senate confirmati­on hearing on Thursday as Joe Biden’s nominee for assistant health secretary. The process could see her become the first openly transgende­r federal official to be confirmed by the US Senate.

If confirmed, Levine, 63, would make history and break several glass ceilings. In a country which still only has a handful of openly trans public officials, she would be the most highprofil­e, occupying a senior position in the Biden administra­tion with major responsibi­lities in the pandemic response.

Announcing her nomination last month, Biden said Levine would bring “steady leadership and essential expertise we need to get through this pandemic … She is a historic and deeply qualified choice to help lead our administra­tion’s health efforts.”

As the confirmati­on hearing got under way on Thursday Levine faced hostile questionin­g from some of the Republican members of the Senate. Rand Paul, senator from Kentucky, compared transgende­r surgery misleading­ly to genital mutilation and accused Levine of supporting “surgical destructio­n of a minor’s genitalia”.

Levine replied by saying that transgende­r medicine was very complex. “If I am fortunate enough to be confirmed, I will look forward to working with you and your office on the standards of care” in this field, she said.

Paul was rebuked by the chair of the committee, Patty Murray, for his “harmful misreprese­ntations”.

Levine is practiced in the art of negotiatin­g confirmati­on hearings. She had to be confirmed by the Pennsylvan­ia senate in 2015 for her first public role as physician general of the state.

The following year she told the Washington Post that she succeeded in securing a unanimous confirmati­on vote after she sat down one-on-one with the state senators. “With very few exceptions my being transgende­r is not an issue,” she told the newspaper.

Since the start of the pandemic she has led Pennsylvan­ia’s effort to combat the health crisis as the state’s health secretary. In such a highly visible role she has been confronted by a rash of hostile and anti-trans mockery and abuse on social media and even at a public fair.

Last July the governor of Pennsylvan­ia, Tom Wolf, who brought Levine into public office, felt it necessary to put out a statement defending her against what he called “vile acts” and “relentless comments and slurs”. He said she was a “highly skilled, valued and capable member of my administra­tion and transgende­r”.

Biden’s nomination of Levine is one of several moves taken by the new administra­tion to promote LGBTQ + rights. Last month the president lifted Donald Trump’s ban on transgende­r people serving in the US military.

Earlier this month Pete Buttigieg became the first openly gay person to be confirmed to a cabinet post as transporta­tion secretary.

 ?? Photograph: Reuters ?? Rachel Levine appears during her confirmati­on hearing in Washington DC, on 25 February.
Photograph: Reuters Rachel Levine appears during her confirmati­on hearing in Washington DC, on 25 February.

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