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Beyond the Prescription: Why Care Matters

Hear directly from the medical professionals standing up for their patients' right to gender-affirming care.

In Beyond the Prescription: Why Care Matters, two healthcare providers reflect on their role in caring for their patients and the harms of restrictions on medical care for transgender patients.

These medical professionals are also two plaintiffs from our case, E.N. v. Kehoe: Dr. Michael Donovan, MD, and Nicole Carr, FNP-C. In this case, Lambda Legal is challenging Missouri’s Senate Bill 49 (SB49), a discriminatory law that bars transgender adolescents from receiving gender-affirming medical care, prohibits Medicaid coverage for gender-affirming medical care for transgender people of any age, and penalizes healthcare professionals who provide such care to minors with the loss of their medical licenses. Unfortunately, the Missouri Supreme Court upheld the law in January 2026, but that is not the end of the fight for equitable and nondiscriminatory access to health care.

Listen to Dr. Donovan’s and Nurse Carr’s stories as they explore the foundations of the doctor-patient relationship and bring to light the dangers of when politicians, rather than doctors, make medical decisions.

That's why I became a primary care doctor because I want to form a relationship [with my patients] that actually means something.

Dr. Michael Donovan, MD

Listen to nurse practitioner Nicole Carr talk about why she became a nurse practitioner.

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I wanted to be the provider who explained the why so that my patients could have buy-in about their health care and have better health outcomes.

Nicole Carr, FNP-C

Listen to Dr. Donovan explain why doctors, not politicians, know their patients' needs best.

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For me to be stopped in giving them the best treatment by a legislator ... it seems very short sighted.

Dr. Michael Donovan, MD

When it comes to trans care ... do we now feel like we need legislatures to intercede, and supercede, the decisions of doctors and providers?

Nicole Carr, FNP-C