Late last July, Trump announced he would direct the military to stop allowing transgender individuals "to serve in any capacity." He cited the need for military policy to focus on effectiveness, which the "tremendous medical costs and disruption" of accommodating transgender troops would derail. He gave the military six months to prepare for the policy change.

The latest memorandum says that the policy will disqualify from service "transgender persons with a history or diagnosis of gender dysphoria," specifically those who "may require substantial medical treatment, including medications and surgery," except in "certain limited circumstances." The president finalized the policy in consultation with Defense Secretary James Mattis and Homeland Security Secretary Kirstjen Nielsen.

In a statement, the White House said that "extensive study by senior uniformed and civilian leaders, including combat veterans," informed Mattis' recommendation, which was that troops diagnosed with gender dysphoria presented "considerable risk to military effectiveness and lethality."

A memo from Mattis also released Friday further notes that the Obama administration justified permitting transgender service by citing a RAND National Defense Research Institute study with "significant shortcomings." The RAND study, he said, "referred to limited and heavily caveated data to support its conclusions, glossed over the impacts of healthcare costs, readiness, and unit cohesion, and erroneously relied on the selective experiences of foreign militaries with different operational requirements than our own"...

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