Samantha Fields

And now, even in states where it is still legal to offer that care to kids, a growing number of hospitals are shutting it down, at least temporarily, over investigations and threats from the Trump administration.

Dr. Johns says everyone she knows who does this work cares deeply about their patients.

Fear about whether their employers will continue to support them, fear of losing their jobs, fear of being targeted by the administration.

But Cash says they're also committed to continuing to support and care for trans kids.

I have goosebumps right now.

It is the most rewarding work she's ever done in more than 20 years in medicine.

Cash says she and Johns have been hearing from lots of providers who are working hard to find ways to keep offering it.

I'm Samantha Fields for Marketplace.

And that rollercoaster shows no signs of stopping.

Trump had campaigned on lowering prices and consumers were optimistic that he would address the cost of living crisis.

Then Mahoney says coming into summer... Trump backed down, consumers started to feel better.

But heading into the fall and winter, consumers have become more dour again.