Absolutely. I've gradually come to the conclusion over the years that, while racism and sexism and nativism are definitely a big part of Trumpism, the main basic driving force is a powerful and deep-rooted homophobia and especially transphobia. I've talked to MAGA relatives and coworkers and others over the past decade and the main issue they keep coming back to over and over, even more than dislike of the Obamas (including Michelle) and Hillary and immigrants is a powerful loathing and fear of gays, lesbians, and especially transgenders. They'll talk heatedly about it for an hour if you let them, and it usually just comes down to they see it as sinful and disgusting and weird and totally in opposition to god (or what they think god is about) and the traditional family. I've had some women say that transgenderism is an "insult" to them as women, which is certainly an odd argument, but they are no doubt passionate about it.
Most of these people have never accepted gay marriage and would be happy to see it revoked tomorrow if they could, want all LGBTQ people back in the closet, and simply don't want to see them or hear about them. And as long as Democrats support the LGBTQ community they'll never vote for them, plain and simple. I'm certainly not saying that Democrats should stop supporting the LGBTQ community, but I do think the main driving force for most MAGAs in refusing to vote for Democrats is pure fear and hatred of the LGBTQ community, although no doubt racism and misogyny and nativism are major factors as well.
I do have a question. Other than pissing them off, how does it impact nurses if the government says they are not professionals? Everyone else knows that they are. Does it impact loans, or pay, or something else?