He thinks transgender people are "delusional."
He sees the fight for LGBT equality as a "clash of absolutes" where "religious liberty and sexual liberty" are forever at odds.
He says the Equality Act, which would add sexual orientation and gender identity to the Civil Rights Act of 1964, is "weaponizing" the Supreme Court Obergefell marriage ruling against Christians.
He's said that "preventing sexual orientation-based discrimination cannot justify serious burdens on...constitutionally protected religious freedom."
He works for an anti-LGBT legal group that seeks to defend Christians against perceived religious discrimination. Among their clients have been Christian bakers Melissa and Aaron Klein of Sweetcakes by Melissa.
And on Wednesday Republicans in the U.S. Senate voted 52-46 to give him a lifetime appointment to the federal bench.
Matthew Kacsmaryk of the very anti-LGBT First Liberty Institute will soon be U.S. District Judge Matthew Kacsmaryk for the Northern District of Texas.
All Democrats and one just one Republican, Senator Susan Collins (R-ME) voted against Kacsmaryk's confirmation, as The Washington Blade reports.
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