A lawsuit has already successfully blocked the Obama administration’s directive to public schools, instructing them to let transgender children use whichever facilities they prefer. Now Texas Attorney General Ken Paxton hopes that a new lawsuit will bring about a similar fate for another one of the administration’s schemes.

Paxton is leading Texas and four other states – Kansas, Kentucky, Nebraska, and Wisconsin – in a legal challenge to a new rule from Obama’s Department of Health and Human Services. Under this rule, which is a “clarification” of language in the Affordable Care Act, sex discrimination as defined by Congress must now include those who identify as transgender. These patients “must be treated consistent with their gender identity, including in access to facilities.”

Paxton’s lawsuit contends that the rule takes unconstitutional liberties with congressional language, forces medical professionals to violate their religious – and sometimes professional – beliefs, and endangers those for whom a “transgender” identity is only temporary.

“The regulation leaves doctors and hospitals in a very difficult position,” said a lawyer for the Becket Fund for Religious Liberty. He said that healthcare professionals all over the country would be open to extraordinary liability as a result of the rule.

The penalty for violating the rule can be significant. Hospitals that are found guilty of noncompliance can be stripped of their federal funding; in some cases, even investigated by the Department of Justice for criminal wrongdoing. HHS has rejected calls for a religious exemption to the regulation, insisting that federal religious liberty laws already protect conscientious objection.

Even if that’s the case, though, this problem extends beyond the realm of the religious and into the realm of the medical. We are choosing to see transgenderism as a valid lifestyle for political reasons, not medical ones. But we’re using this political choice to then make real medical decisions and mandates. We are entering a new age of leeches and lobotomies and, to make things worse, creating a legal environment where it’s a crime for a doctor to say, “Yeah, I’m not doing that.”

When you really start to think about where all of this leads, you see why “men in the ladies’ bathroom” is the least of the horrors awaiting us.