Minority President-elect Donald Trump is on a quest to fill his Cabinet with as many hateful, destructive people as possible. His pick for Secretary of Health and Human Services is no exception: meet Rep. Tom Price. 

A representative from Georgia, Tom Price has made his positions on a variety of healthcare issues loud and clear. He wants to completely repeal the Affordable Care Act, and he has a long track record of opposing LGBT equality (and specifically transgender rights). Here’s a sampling of his track record on health issues as well as other social and political issues, via ontheissues.org:

-Voted YES on banning federal health coverage that includes abortion
-Voted NO on reauthorizing the Violence Against Women Act
-Voted NO on giving mental health full equity with physical health
-Voted NO on prohibiting job discrimination based on sexual orientation
-Voted YES on constitutionally defining marriage as one-man-one-woman
-Voted NO on enforcing against anti-gay hate crimes
-Voted NO on $84 million in grants for Black and Hispanic colleges
-Voted NO on four weeks of paid parental leave for federal employees
-Voted YES on barring EPA from regulating greenhouse gases
-Voted NO on tax incentives for energy production and conservation
-Voted YES on requiring photo ID for voting in federal elections
-Voted YES on prohibiting product misuse lawsuits on gun manufacturers
-Voted YES on allowing electronic surveillance without a warrant
-Voted YES on terminating funding for National Public Radio

So, that’s what we’re working with now. This is the person who will be running our health department. This is our new reality. Holy hell.