It strikes me that this abhorrent rhetoric falls under the prohibitions of Brandendburg v. Ohio, where the U.S. Supreme Court held in 1969 that speech which causes or is intended to incite immininent lawless action is not protected. At a minimum this would appear to be sufficient justification for terminating Chaya Raichak’s Twitter and other social media accounts. Barring this it seems to me that the willful lie about providing surgical intervention to trans children would provide a sufficient basis for civil suits against her for her false claims, likely resulting in significant damages as occurred in the Alex Jones defamation case recently in connection with the shootings at Sandy Hook. And that was much less egregious since there was no intent to incite further violence, just deny the established truth. The statements are also arguably subject to prosecution under the federal Hate Crimes Prevention Act since both of the hospitals are located in states that protect trans identities. Much like the early fight for Civil Rights, I suspect things will only improve when the hateful bigots experience real consequences for their actions.