Response to the US Supreme Court’s Ruling on Gender-Affirming Care for Minors in Tennessee

Dear Beloved in Christ,

We write to you with heavy hearts following the recent United States Supreme Court’s decision to uphold Tennessee’s ban on gender-affirming medical care for transgender minors. In our Lutheran and Episcopal traditions, we proclaim the fundamental truth that every human being is created in the image of God—the imago Dei—and is therefore deserving of dignity, respect, and love.

The Episcopal Church views health care as a human right, “supports comprehensive health care, and recognizes the need for universal and equitable access for all” (Summary of Episcopal Church Policy and Advocacy on Healthcare in the United States). The ELCA understands that “caring for the health of others expresses both love for our neighbor and responsibility for a just society. Faithfully stewarding our own health and fulfilling our obligations for the health of others comes from the God who heals and redeems the whole creation. Health care is a shared endeavor” (Caring for Health: Our Shared Endeavor).

We, grounded in our faith traditions, stand alongside those who are most vulnerable. Jesus consistently ministered to those pushed to the margins of society—the outcasts, the misunderstood, and the rejected. Today, transgender youth and their families find themselves in positions of profound vulnerability, facing legal barriers to accessing health care that medical professionals and major medical associations consider appropriate and necessary.

Both Episcopal and Lutheran social teachings call us to work for systemic change that promotes human dignity and wellbeing. We continue to advocate at local, state, and federal levels for policies that protect the rights and health care access of transgender individuals, particularly minors who are most vulnerable to legislative restrictions. Our collaborative efforts to advocate for and provide access to health care for all is a matter of justice for all people. “A dominant principle in health care ethics is the right of individuals to be freely self-determining with regard to their own bodies and medical treatment decisions” (Caring for Health: Our Shared Endeavor).

While last week’s ruling represents a significant setback, we are reminded that God’s justice is not bound by human institutions or court decisions. The arc of God’s love is long, and throughout history, the Spirit has continued to break down barriers and expand our understanding of God’s radical welcome.

We remember that both our faith traditions have evolved in their understanding of inclusion. The Spirit continues to move, calling us forward into ever-greater expressions of God’s boundless love. It is incredibly important for us to stand together with all who identify as transgender, gender non-binary, or gender fluid. Please hear us clearly say: We see you. We love you. We are with you. You are beloved children of God. Your identity is sacred, your dignity is non-negotiable, and your place in God’s reign is secure.

As we navigate this challenging time, we are committed to:

  • Praying earnestly for transgender youth, their families, and all who work to support them
  • Deepening our understanding and practice of what it means to be communities of welcome and inclusion
  • Supporting organizations that provide resources and advocacy for transgender individuals
  • Continuing to proclaim the gospel truth that God’s love knows no boundaries

The restoring and reconciling nature of God’s reign calls us beyond the divisions and limitations imposed by human systems toward a more expansive understanding of divine love and human dignity. While we do not know what challenges lie ahead, we trust in the God who has promised to be with us always. May we continue to be instruments of God’s peace, agents of divine love and institutional change, and witnesses to the life-giving inclusivity that lies at the heart of the gospel.

In Christ’s service and with steadfast hope,


The Rev. Dr. Kevin L. Strickland
Bishop, Southeastern Synod ELCA

The Rt. Rev. Phoebe A. Roaf
Bishop, The Episcopal Diocese of West Tennessee

FOR TRANS YOUTH SEEKING HEALING AND WHOLENESS:

Gracious God, you created all people in your image, diverse and united in dignity, reflecting your boundless creativity and unwavering love. In light of the recent Supreme Court decision that allows states to prohibit gender-affirming care for minors, we pray for the youth who feel afraid and will no longer be able to access the care they need. We pray for the parents and family members who must now seek new ways to care for and protect their children. Grant us wisdom and courage so that we may offer support rooted in truth and compassion. May we, like Jesus, who welcomed the marginalized and restored the vulnerable, bear witness to your mercy and grace; through the same Jesus Christ our Lord. Amen.

Episcopal Public Policy & Witness Weekly Prayers

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