A Trump campaign adviser sparked outrage online Monday after sharing a tweet that intentionally misgendered Pennsylvania’s top health official, who is a transgender woman. “This guy is making decisions about your health,” Jenna Ellis, a senior legal adviser to the campaign, said in a tweet referencing Pennsylvania Secretary of Health Rachel Levine.

The tweet included a link to a story from May in which Levine asked not to be misgendered after a reporter repeatedly called her “sir” during a press briefing.

Levine is one of only a handful of openly transgender people in public office in the United States. “Dr. Levine is laser-focused on assisting Pennsylvanians in the midst of a national pandemic,” Pennsylvania Department of Health

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