

De facto, discrimination against trans people is essentially legal now. The EEOC has been directed not to investigate complaints about gender identity.
Oklahoma, before Trump was elected, was found to be flagrantly violating the Americans with Disabilities Act by essentially using jails to house people in mental health crises. The DOJ ordered Oklahoma to make changes then, but essentially nothing has happened. The state department of mental health does not currently even have a receptionist - there are no investigations into physical or sexual abuse at inpatient facilities.
Across the board, there is no longer any guarantee for basic civil rights in the United States. Unless you are a sane healthy straight white Christian cis man, you are a second class citizen.











I think what you are getting at is that “sanity” is socially constructed.
A person who claims they talk to God is treated very differently than a person who talks to the voices in their head, such as being forcibly incarcerated or institutionalized.