America leads the world in a lot of things. The serial killer count is harder to brag about—but we’ve done it, folks.

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A new analysis by PokerTube of official serial killer data found the US has 3,615 documented serial killers, accounting for 66.2% of all known cases worldwide. That’s more than 18 times the number recorded in Russia (196) or the UK (190). Two in every three documented serial killers in recorded history operated on American soil.

The state breakdown produces some counterintuitive results. Wyoming, not New York or Los Angeles, leads the nation in serial killers per capita, at 13.59 per million residents—roughly one known killer for every 73,584 people. Alaska has the scariest victim rate, at 8.67 serial killer victims per 100,000 residents, driven largely by Robert Hansen, the “Butcher Baker,” who abducted and hunted at least 17 women in the Alaskan wilderness before being sentenced to 461 years in prison. Missouri rounds out the top five with 350 total victims—the highest raw count among the leading states.

Wyoming Leads the U.S. in Serial Killers Per Capita, New Analysis Finds

The PokerTube numbers also add some wild context. Americans are statistically more likely to live next to a serial killer (1 in 94,800) than to win the lottery (1 in 292.2 million) or get bitten by a shark (1 in 11.5 million). The more comforting comparison: you’re still more likely to be struck by lightning (1 in 15,300) than to have a serial killer for a neighbor. So, yay?

Some of the margin is about how you count. Radford University’s Serial Killer Information Center runs the most thorough global database on the subject and has noted that countries differ significantly in how they define, investigate, and document serial killings. The US count benefits from decades of rigorous FBI classification and recordkeeping that most countries don’t have. That explains part of the number. Not all of it.

James Thompson, a strategist at PokerTube, noted that serial killer hotspots “cluster heavily in the West, with six of the top ten states being western states.” One detail the data also reveals: criminologists at Northeastern University have documented a significant decline in US serial killings from the 1990s peak. The golden age of the American serial killer appears to be, cautiously, behind us.

The US has 3,615 documented serial killers and retains every record that comes with that. The good news is that the number has been declining. The bad news is that Wyoming is still pulling some terrifying numbers. 

The post This State Has the Most Serial Killers Per Capita in America, According to a New Study appeared first on VICE.

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President Donald Trump’s administration said that Medicaid will stop paying for gender-affirming surgeries and hormone treatments for transgender minors and the state Children’s Health Insurance Program won’t pay for the treatments for those under 19.

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The announcement is the latest in a series of policies from the administration aimed at transgender people that began the day Trump returned to office last year.

The policy is to take effect Oct. 13.

It is not clear how much taxpayer funding is going to cover gender-affirming treatments for transgender youth now. The Centers for Medicare and Medicaid Services did not respond to questions about the policy on Tuesday.

At least 27 states have already banned gender-affirming care for those under 18. Even in states that haven’t, many major hospitals have stopped providing some of the treatments. And gender-affirming surgeries for minors are rare. Puberty blockers and hormone treatments are more common.

The policy calls for Medicaid and CHIP to continue to pay for mental health treatment for transgender minors but phase out coverage of hormone treatments that are used both to block puberty and to produce sex-related physical changes for those already receiving them as of April 2027.

Trump said in a social media post Tuesday that he directed Dr. Mehmet Oz, the CMS administrator, to make the change.

“We are not going to pay for our innocent children to undergo these barbaric surgeries and practices, which result in unthinkable and irreversible harm to their young bodies,” Trump said in his post.

Advocates for LGBTQ+ young people look at it differently.

GLBTQ Legal Advocates and Defenders legal director Josh Rovenger said the rule “is putting up barriers between parents and their ability to make the best medical decisions for their children” and would face a legal challenge.

“The Trump administration is terrorizing trans youth and their families with these kinds of actions, and it has to stop,” Human Right Campaign President Kelley Robinson said in a statement.

HRC is already suing the administration for efforts to bar gender-affirming care coverage under federal employee benefit plans.

The American Medical Association and most other major medical organizations support access to gender-affirming care, though the American Society of Plastic Surgeons said earlier this year that it found “insufficient evidence” that the benefits of chest, genital and facial surgeries on minors experiencing gender dysphoria — or the unease a person may have because their assigned gender and gender identity don’t match — outweigh the risks.

The administration has already announced it would cut off Medicaid and Medicare funding for hospitals that provide gender-affirming care for minors, along with barring transgender athletes from sports competitions for girls and women and blocking people from being able to choose male, female or X to designate their sex on passports.

It also released a report last year urging therapy only for transgender youth and not broader gender-affirming health care.

Most of the changes have faced legal challenges. The U.S. Supreme Court let the administration’s passport policy stand and allowed states to enforce the sports bans. A lower court ruled against the administration’s declaration that called the treatments unsafe and ineffective. A challenge over the policy targeting hospitals is still pending.

This story was originally featured on Fortune.com

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