Since her departure, Rempe has struggled to make sense of what happened to the hospital where she spent 16 years of her professional life. Was there a common thread behind the transgender flag pins, the pronouns, the puberty blockers, and the trainings and policies that enforced the new culture?
As it turns out, there is an outside force pushing hospitals in this direction.
The Human Rights Campaign’s Corporate Equality Index became a flashpoint last month when commentators posited that the scorecard was behind Bud Light’s decision to air an advertisement featuring the transgender TikTok personality Dylan Mulvaney. Well, it has a sibling.
Meet the Healthcare Equality Index, the Human Rights Campaign’s scorecard for hospitals that purports to measure the "equity and inclusion of their LGBTQ+ patients."
The index, which uses a 100 point scale, is funded by Pfizer and PhRMA, the trade association that lobbies on behalf of large pharmaceutical companies. And, Rempe noticed, it awards points for all of the policies Children’s National implemented.
To earn a perfect score, hospitals must display LGBT symbols, solicit and use patients’ preferred pronouns, and conduct trainings on LGBT issues approved by the Human Rights Campaign, according to the scoring criteria.
They must also provide the same treatments for gender dysphoria that they provide for other medical conditions—meaning a hospital that uses puberty blockers to treat precocious puberty cannot withhold the drugs from children who say they’re transgender. And though the index does not mention medical conscience exemptions explicitly, it does penalize hospitals for allowing "discriminatory treatment that is in conflict with their non-discrimination policy."