The U.S. Supreme Court’s liberal wing delivered two unusually pointed dissents this week as the conservative majority advanced restrictions in separate health-care and environmental cases. On Wednesday, the Court voted 6–3 to uphold Tennessee’s 2023 law barring doctors from prescribing puberty blockers and hormone treatments to transgender minors. Justice Sonia Sotomayor, reading her dissent from the bench, said she did so “in sadness,” arguing the decision departs from decades of equal-protection precedent and permits legislatures to cloak sex-based discrimination in neutral-sounding language. Two days later the justices ruled 7–2 that Diamond Alternative Energy, a Valero subsidiary, may proceed with a lawsuit challenging the Environmental Protection Agency’s approval of California’s tougher vehicle-emissions standards. Justice Ketanji Brown Jackson, joined only by Sotomayor, warned that the majority’s stance “gives fodder to the unfortunate perception that moneyed interests enjoy an easier road to relief in this Court than ordinary citizens” and could erode public confidence in the judiciary’s neutrality. The back-to-back dissents underscore growing frustration among the Court’s three-member liberal bloc as the 6–3 conservative majority reshapes federal oversight of medical care and environmental regulation. While Wednesday’s ruling leaves in place similar gender-care bans in multiple states, Friday’s decision opens a new front for industry challenges to longstanding Clean Air Act waivers that allow California to set stricter pollution limits than the federal baseline.