Trans doctor Rachel Levine faces historic Senate confirmation hearing

Dr Rachel Levine, a pediatrician and health official from Pennsylvania, faces a Senate confirmation hearing on Thursday as Joe Biden’s nominee for assistant health secretary. The process could see her become the first openly transgender federal official to be confirmed by the US Senate.

If confirmed, Levine, 63, would make history and break several glass ceilings. In a country which still only has a handful of openly trans public officials, she would be the most high-profile, occupying a senior position in the Biden administration with major responsibilities in the pandemic response.

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Announcing her nomination last month, Biden said Levine would bring “steady leadership and essential expertise we need to get through this pandemic … She is a historic and deeply qualified choice to help lead our administration’s health efforts.”

Levine is practiced in the art of negotiating confirmation hearings. She had to be confirmed by the Pennsylvania senate in 2015 for her first public role as physician general of the state.

The following year she told the Washington Post that she succeeded in securing a unanimous confirmation vote after she sat down one-on-one with the state senators. “With very few exceptions my being transgender is not an issue,” she told the newspaper.

Since the start of the pandemic she has led Pennsylvania’s effort to combat the health crisis as the state’s health secretary. In such a highly visible role she has been confronted by a rash of hostile and anti-trans mockery and abuse on social media and even at a public fair.

Last July the governor of Pennsylvania, Tom Wolf, who brought Levine into public office, felt it necessary to put out a statement defending her against what he called “vile acts” and “relentless comments and slurs”. He said she was a “highly skilled, valued and capable member of my administration and transgender”.

Biden’s nomination of Levine is one of several moves taken by the new administration to promote LGBTQ+ rights. Last month the president lifted Donald Trump’s ban on transgender people serving in the US military.

Earlier this month Pete Buttigieg became the first openly gay person to be confirmed to a cabinet post as transportation secretary.