Jacob Rumble of West St. Paul, MN is a student at Minneapolis Community and Technical College. He thought his troubles began when he felt severe abdominal pain in 2013. But they actually began when he and his mother arrived at the emergency room of Fairview Southdale Hospital in Edina.

He was treated so badly that he filed a federal lawsuit. Both the hospital and the organization which employs the emergency room physician, Emergency Physicians Professional Association (EPPA) filed motions to have the case dismissed.

In a 63-page ruling US District Judge Susan Richard Nelson ruled that Rumble had built a plausible case that he was a victim of discrimination on the basis of his gender identity by an emergency room doctor and denied the defendants' motions.

Nelson's ruling is believed to be the first extensive federal court analysis of Section 1557 of the Affordable Care Act, which prohibits discrimination in health care.

Everyone knows the right wing oratory. When it comes time to adress LGBT...especially T, rights, the religious conservatives are all, "Think about thew children!"

I do. All the f'ing time!

Let's think about some of the children whose stories I have recently run across, shall we?

Let's think about Tom Sosnik.

For a while, I dismissed the fact that I hated my body. I pretended to be content with what I was assigned until, at a certain point, I broke.

I went through a series of horrible breakdowns. And I would stand under the water in the shower crying. I knew I wasn't happy.

I am no longer Mia. I never really was. And now I finally stand before you in my true and authentic gender identity as Tom. I stand before you as a thirteen-year-old boy.

I really hope that you all will support my decision to embark on a harder route in life as the boy I truly am. Any form of support I receive with much gratitude and I hope that everyone can really support me because you guys are like my second family. And if you support me, I'll feel like the luckiest boy in the world. Thank you for letting me share my story.

In my heart, I am still the same person. Whether you like that person or not, it’s me.

--Tom