The rule is meant to cut Planned Parenthood, which serves 41 percent of Title X recipients, out of the program. But for many women who rely on Title X, there are no alternatives. Planned Parenthood’s president, Dr. Leana Wen, told me that in Wisconsin, as of 2017, Planned Parenthood served 80 percent of Title X patients and was the only Title X provider in seven counties. In Ohio, Planned Parenthood was the only Title X provider in nine counties. “We know that when patients cannot access their provider of choice, they delay care,” or they end up forgoing care altogether, she said.

The administration appears to think that religious anti-abortion groups, including those opposed to contraception, will fill some of the gaps. The new regulation jettisons a requirement that Title X clinics provide “medically approved” family planning services. That means that funds that once went to Planned Parenthood could flow instead to anti-abortion groups that promote so-called natural family planning. Unless the courts halt the new policy, struggling women who need refills on their birth control pills could get federally funded lectures on the rhythm method instead.

This move to turn a lifesaving women’s health program into pork for the religious right should be major news. Instead, it’s been overshadowed by a series of scandals, each offering telling glimpses of the sexual ethics of Trumpworld’s golf-shirted Commanders.

On Thursday, a federal judge ruled that prosecutors working under former Miami U.S. attorney Alex Acosta, now Trump’s secretary of labor, broke the law in the process of making an inexplicably lenient plea deal with the financier Jeffrey Epstein, who’d been accused of sexually abusing underage girls. (Trump once counted Epstein as a friend, saying of him: “He’s a lot of fun to be with. It is even said that he likes beautiful women as much as I do, and many of them are on the younger side.”) Acosta would have already been forced out of any normal administration, but so far he seems secure in this one.