A district judge in Texas with a long record of extreme rulings against the Affordable Care Act (ACA) and against LGBTQ equality today managed to attack both of them at once, striking down an ACA requirement that insurance policies cover pre-exposure prophylaxis, or PrEP, which prevents the transmission of the HIV virus. Judge Reed O’Connor’s asinine and sure-to-be-overturned opinion is peak 2022 Republicanism, striking down a scientifically grounded public health rule on the basis of tendentious, implausible, and simply wrong readings of law, politics, and even religion.