Everybody, please don't overlook this!
This appointee, Roger Severino, is a hardened anti-trans ideologue, with a long history of anti-LGBT and specifically anti-trans advocacy. Here's an example of his thoughts in a commentary he wrote recently (three months ago!!) opposing the Obama administration policy on LGBT issues and singling out North Carolina Governor Pat McCrory for praise for enacting and defending anti-trans Hate Bill 2:
http://www.heritage.org/gender/commentary/court-should-reject-obamas-radical-social-experimentCourt Should Reject Obama's Radical Social ExperimentRoger Severino
Director, DeVos Center for Religion and Civil Society
Dec 14th, 2016
". . . Twenty-four states and governors have already sued the administration for attempting to dictate their state's bathroom and shower policies without legal authority. North Carolina Gov. Pat McCrory deserves tremendous credit for leading this effort and for standing against the progressive bullies in the media, big business and the federal government.
"McCrory knows that subjective and unverifiable gender identity policies threaten the safety and privacy of women and girls in intimate facilities because they open the door to abuse by non-transgender people."
Everyone: Please understand that the above is no longer just the personal opinion of a conservative commentator in a right-wing think tank. Trump has now appointed this man to manage federal civil rights policy on matters involving your health care. Specifically, Severino's writings have explicitly defended the "right" of medical practitioners and institutions to deny care to gay and trans people based on "religious" objections. This may soon make a difference in whether you get medical care . . . or not.