Overview

• Vance joined Bluesky on June 18 and posted a screenshot of Justice Clarence Thomas’s concurring opinion in U.S. v. Skrmetti that claimed gender-affirming care for minors lacked medical consensus.
• By June 20, more than 117,500 accounts had blocked Vance, making him the platform’s most blocked user and surpassing the previous record held by journalist Jesse Singal.
• Bluesky temporarily suspended Vance’s account over an automated impersonation flag before verifying his identity and restoring access within hours.
• The Supreme Court’s 6-3 ruling in U.S. v. Skrmetti upheld Tennessee’s ban on gender-affirming care for transgender youth, with Justice Sonia Sotomayor dissenting on grounds of sex-based discrimination.
• Leading medical organizations, including the American Medical Association and the American Psychological Association, affirm that gender-affirming care for minors is evidence-based and medically necessary, countering Thomas’s assertion of disputed science.