South Dakota Gov. Kristi Noem has made anti-trans legislation a trademark of her term, but singling out trans people—and those who provide them medical care—comes at a cost to the state and its residents. It left the tiny rural town of Webster with only one physician. Guest: Mayson Bedient, a family medicine and gender-affirming care specialist in Fargo, North Dakota If you enjoy this show, please consider signing up for Slate Plus. Slate Plus members get benefits like zero ads on any Slate podcast, bonus episodes of shows like Slow Burn and Amicus—and you’ll be supporting the work we do here on What Next. Sign up now at slate.com/whatnextplus to help support our work. Learn more about your ad choices. Visit megaphone.fm/adchoices