LGBTQ children are overrepresented in foster care with around 30% identifying as LGBTQ, and kids in foster care are five times more likely to identify as transgender. The Biden administration's policy aims to provide gender-affirming care to these children, citing bias faced by the LGBTQ community. Conservatives believe that transgender identities in foster care are linked to mental health struggles resulting from trauma and neglect. The policy has support from the Democrat base, with nearly two thirds believing that it's beneficial for foster children to be adopted by families supporting transgender ideologies. Critics argue that the expression of love through faith, as demonstrated by Bishop Martin, could be compromised by these new policies.

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