{
  "$type": "site.standard.document",
  "bskyPostRef": {
    "cid": "bafyreidw4l2crrbrtx3v6gcdsy2mwjlgxiebri2ib4zkax6d22kfrhsjii",
    "uri": "at://did:plc:tr4cib3u27qz5ltiassjlr7b/app.bsky.feed.post/3mnv6dmxnf7k2"
  },
  "coverImage": {
    "$type": "blob",
    "ref": {
      "$link": "bafkreibqfmmznzcg4jrbkdxo437s2qexeddvkpggihg3aktl5hkos6uyri"
    },
    "mimeType": "image/jpeg",
    "size": 379675
  },
  "path": "/news/2026/06/why-did-cleveland-clinic-sign-away-20-years-of-gender-affirming-care-its-complicated.html",
  "publishedAt": "2026-06-09T20:39:01.000Z",
  "site": "https://www.cleveland.com",
  "textContent": "The clinic's settlement with the Trump DOJ locks in a political outcome for a generation, raising urgent questions about federal pressure on major medical institutions.",
  "title": "The Trump DOJ just locked Cleveland Clinic into a 20-year gender care ban — and experts say vulnerable kids will pay the price"
}