The case raised foundational constitutional questions: whether transgender people constitute a class triggering higher constitutional scrutiny, whether laws targeting them violate equal protection, and whether the Constitution guarantees their right to access medically necessary treatment. The Court sidestepped nearly all of those questions, instead issuing a narrower opinion that carves out an exception permitting medical discrimination based on “gender dysphoria”—a distinction it bizarrely treats as separate from discrimination against transgender people. The ruling effectively greenlights medical care bans across the country and may pave the way for broader restrictions, including for adults, while leaving lower court rulings on bathrooms, schools, sports, and employment remain intact—for now.
One of the more strained justifications in the majority opinion mirrors arguments once used to deny rights to same-sex and interracial couples: that the law does not discriminate against transgender people, but instead bars both cisgender and transgender people from receiving medication to treat gender dysphoria. It's a tortured rationale—functionally absurd given that transgender people will need the medical treatment for gender dysphoria, not cisgender people.
Sotomayor compares this rationale to that used in Loving v. Virginia, a ruling which struck down laws against interracial marriage:
“But nearly every discriminatory law is susceptible to a similarly race- or sex-neutral characterization. A prohibition on interracial marriage, for example, allows no person to marry someone outside of her race, while allowing persons of any race to marry within their race….
In a passage that sounds hauntingly familiar to readers of Tennessee’s brief, Virginia argued in Loving that, should this Court intervene, it would find itself in a “bog of conflicting scientific opinion upon the effects of interracial marriage, and the desirability of preventing such alliances, from the physical, biological, genetic, anthropological, cultural, psychological, and sociological point of view.” … “In such a situation,” Virginia continued, “it is the exclusive province of the Legislature of each State to make the determination for its citizens as to the desirability of a policy of permitting or preventing such [interracial] alliances—a province which the judiciary may not constitutionally invade.” Id., at 7–8.
First of all, yes, I think some people find it controversial to use the term "genocide" to refer to what's happening to trans people. Part of the debate about the term "genocide" is whether it can apply to non-ethnic groups, for example. I would argue the spirit of the term does apply to any group, but some people disagree. I'm not sure why it's so important for the term to be limited to ethnicity, I tend to think these arguments are not in the spirit of validating or recognizing very real oppression and violence intended to completely eliminate a certain group.
The motivation to use the term "genocide" is that the anti-trans movement has explicitly stated as their goal the total erasure of trans people:
https://www.rollingstone.com/politics/politics-news/cpac-speaker-transgender-people-eradicated-1234690924/
https://www.rollingstone.com/politics/politics-news/matt-walsh-supreme-court-erase-trans-ideology-earth-1235192666/
Specifically, the Lemkin Institute for Genocide Prevention has described the anti-trans movement as genocidal:
https://www.lemkininstitute.com/red-flag-alerts/red-flag-alert-for-the-anti-trans-agenda-of-the-trump-administration-in-the-united-states
Trans people in Florida prisons are being forcefully detransitioned and forced into pseudo-science conversion "therapy", I don't think it's hyperbolic at this point in time to say the intentions of the anti-trans movement are genocidal, and I think the movement is largely succeeding in their goals.
So far necessary medical care has been denied to trans youth in many states, and the U.S. Supreme Court recently ruled that discrimination against people on the basis of "gender dysphoria" is legal. We already have data that the ban of gender affirming care (and in some cases, forcing physicians to detransition trans youth) has significantly increased the rate of suicide attempts among those trans youth.
We are also seeing tools used in previous genocides, such as "social death" where the concept of being trans is eliminated from the law and thus on a social and legal level trans people cannot "exist". Laws in some states have already achieved this (which results in trans people never being able to fix their birth certificates or update their legal documents, for example), and now the federal government is operating under executive orders that establish the same (making it impossible for trans people to have accurate passports or federal documents, for example - but the policies impact much more, including forcing male TSA agents to pat down trans women and vice versa).
So the methods and goals are all genocidal, the only problem is that trans people as a group are not a national or ethnic group, so this would fail a narrow definition of genocide that way.