Dr. Kade Goepferd, medical director of Children’s Minnesota Hospital’s Gender Health Program, like many providers who treat transgender youths, has received death threats. Goepferd said the growing waitlist, which has expanded due to surrounding states’ bans on gender-affirming care, is more concerning. The program has seen a 30% increase in calls, leading to a waitlist of at least a year. NBC News found that clinicians in states like Connecticut and California are similarly overwhelmed by the influx of out-of-state patients. Legal risks and logistical challenges, such as insurance denials, are straining providers. Shield laws are “a tenuous protection,” according to Dr. Molly McClain of the University of New Mexico’s Deseo clinic. A “majority of gender-affirming care providers NBC News interviewed had received threats, ranging from angry calls and emails to arson.”