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Focusing on the provision of gender-affirming care, Health Care Civil Rights analyzes the difficulties and potential of discrimination law in healthcare settings. The application of civil rights law could be a powerful response to health inequalities in the US, but conservative challenges and the complex and fragmented nature of our health care system have limited the real-world success of this strategy. Revealing deep divides and competing interests that reverberate through patient experiences, insurance claims, and courtroom arguments, Anna Kirkland explains what health care civil rights are, how they work in theory and practice, and how to strengthen them.