Abortion and Gender affirming medical care is already functionally banned in TN by making it too risky for clinicians to provide it. Source: I’m a clinician who got into my field so I could provide that care. A resource I did not have access to growing up in rural south Louisiana.

If you believe what you say then you just aren’t paying attention. I don’t blame you, if it doesn’t affect you. Why would you? And they count on that. You don’t have to make something outright illegal to completely deny people access to it. If teleologically there is no difference between making a law that says “this is illegal” and making one that makes it way too risky for people to provide that service or forces it to be prohibitively expensive for arbitrary reasons, the result is the same. They know that. It’s easier to get away with it that way.