Gender Dysphoria

Legalizing euthanasia/assisted suicide, abortion, and transgender interventions for dysphoric children is only the beginning of the ongoing destruction of Hippocratic moral values in medicine. Once such interventions are legal, activists next insist that they become readily available. But many (and I hope most) doctors want nothing to do with causing death or interfering with the normal functioning of healthy bodies. Indeed, many assisted suicide, abortion, and gender ideologues complain that too few doctors willingly participate in these procedures, as is sometimes protected by the law. These “medical conscience” rights inhibit the increasing hegemony of utilitarian medical values in health care. As a result, once life-taking or mutilating procedures become legal, efforts soon begin to conscript unwilling medical professionals into performing Read More ›

The New England Journal of Medicine continues to besmirch its once august reputation by pushing ideology rather than medical science when discussing our nation’s most contentious social issues. This is particularly true about so-called gender-affirming care for minors experiencing gender confusion. Even as repeated medical studies undercut the ideological narrative that puberty blockers, hormones, and even surgeries are the best means of caring for dysphoric children — and as country after country severely restricted those interventions — (with the exception of an unsubstantive criticism of the Cass Review) articles in the NEJM on the question usually pretend that the pushback never happened.

Now, the editors have done it again, publishing an article by Scott Skinner-Thompson, an LGBT activist law professor from the University of Colorado, Boulder, criticizing the Supreme Court for allowing Tennessee to legally prevent such interventions in children. The pretense begins with the headline, “The Faulty Logic behind the Supreme Court’s Failure to Protect Trans Minors.” To the contrary, Tennessee and other jurisdictions that have enacted such laws have done so to protect trans minors from potentially irreversible harm, in the knowledge that most gender dysphoric minors overcome their confusion by the time they reach adulthood.

Then, Skinner-Thompson leans on clearly ideological opinions by medical associations, despite at least one of which (WPATH) having been substantively discredited:

On June 18, 2025, the U.S. Supreme Court upheld Tennessee’s ban on gender-affirming hormonal treatment for transgender minors against an Equal Protection Clause challenge in United States v. Skrmetti. Transgender adolescents who need these medical interventions but live in one of the many states that ban them may need to look elsewhere for care. Nearly every major relevant U.S. health care organization has concluded that the prescription of hormones and puberty blockers for treating gender dysphoria in transgender adolescents is often medically appropriate in that it can improve mental health and well-being, whereas untreated gender dysphoria can lead to depression, anxiety, and suicidality.

The execrable gender ideologue Admiral Rachel Levine is no longer in government. That’s great news in the long run for children with gender dysphoria, because the new administration wants to actually protect these disturbed minors. Accordingly, President Trump today signed an executive order protecting such children from being subjected to often irreparable body-altering “gender-affirming care.” From the order, “Protecting Children from Chemical and Surgical Mutilation:”

Across the country today, medical professionals are maiming and sterilizing a growing number of impressionable children under the radical and false claim that adults can change a child’s sex through a series of irreversible medical interventions. This dangerous trend will be a stain on our Nation’s history, and it must end.

Countless children soon regret that they have been mutilated and begin to grasp the horrifying tragedy that they will never be able to conceive children of their own or nurture their children through breastfeeding. Moreover, these vulnerable youths’ medical bills may rise throughout their lifetimes, as they are often trapped with lifelong medical complications, a losing war with their own bodies, and, tragically, sterilization.

Accordingly, it is the policy of the United States that it will not fund, sponsor, promote, assist, or support the so-called “transition” of a child from one sex to another, and it will rigorously enforce all laws that prohibit or limit these destructive and life-altering procedures.

Excellent.

It is increasingly clear that there is little scientific basis for administering puberty blockers to gender-dysphoric youth. Consequently, many European countries have now effectively banned their use outside of official studies. Now, the New Zealand Ministry of Health has similarly found that there is a “dearth” of evidence supporting blocking normal adolescence in youngsters who feel that their gender is different from their sex. The New Zealand study reviewed all the literature on the question published before September 30, 2023. In other words, it was a study of the findings of published studies. First, it found that studies claiming that puberty blockers helped ease depression were of very poor quality. From “Impact of Puberty Blockers in Gender-Dysphoric Adolescents” (my emphasis): Impact of puberty blockers on Read More ›