new england journal of medicine

As many Western countries reverse their former embrace of so-called “gender-affirming care” as it applies to children, the American medical establishment has obstinately pretended that puberty blockers and transition surgeries are medically uncontroversial. The latest example: An advocacy article published in the February 12, 2025 New England Journal of Medicine — yet again — decrying laws passed to protect children from transition interventions. From “Advancing Transgender Health amid Rising Policy Threats” (citations omitted): Gender-affirming care is a cornerstone of multidisciplinary health support for transgender and nonbinary people; it is widely recognized as essential, evidence based, and often lifesaving. The standards of care issued by the World Professional Association for Transgender Health emphasize the critical role of interventions such as pubertal Read More ›

No matter election outcomes, presidential executive orders, and the ebbing support for the “woke” agenda among the general public, the medical establishment — epitomized by the New England Journal of Medicine — continues to push DEI ideology in medical school admissions policies. A recent advocacy article in the NEJM pledges fervid fealty to DEI, primarily focusing on gender ideology. From, “Facing Political Attacks on Medical Education — The Future of Diversity, Equity, and Inclusion in Medicine” (citations omitted): In recent years, the United States has seen an onslaught of legislation aimed at dismantling diversity, equity, and inclusion (DEI) initiatives in higher education, including medical education. Although these legislative actions are often construed as focusing only on race, they also explicitly or implicitly target members of Read More ›

The American medical establishment remains radically committed to the misnamed “gender-affirming care” model, refusing to even consider following the examples of the U.K., Sweden, Denmark, Finland, New Zealand, France, Norway, and others whose health ministries have hit the brakes hard on providing puberty blockers, hormones, and surgeries to gender dysphoric children.

Example: The current New England Journal of Medicine published a “Perspectives” screed attacking the Cass Review — widely respected for its thorough investigation of the lack of significant data supporting puberty blocking of gender dysphoric children. From “The Future of Gender Affirming Care“:

Our concern here is that the Review transgresses medical law, policy, and practice, which puts it at odds with all mainstream U.S. expert guidelines. The report deviates from pharmaceutical regulatory standards in the United Kingdom. And if it had been published in the United States, where it has been invoked frequently, it would have violated federal law because the authors failed to adhere to legal requirements protecting the integrity of the scientific process.

Fresh off publishing an unsubstantial attack on the Cass Review that recommended against puberty blockers for gender dysphoric youth, the New England Journal of Medicine offers an advocacy piece demanding that prisoners claiming to be transgender be given free “transition surgeries.” From “Gender-Affirming Surgical Care in Carceral Settings“: Several U.S. courts have held that access to gender-affirming care during incarceration is a trans person’s right. This conclusion is reflected in the Federal Bureau of Prisons (BOP) clinical guidance, which governs clinical care provision within federal carceral facilities, which house an estimated 1200 trans people. The BOP, whose guidance often sets the standard for health care delivery in state and local carceral facilities, recommends provision of gender-affirming care during incarceration, including Read More ›

The latest New England Journal of Medicine contains two advocacy articles that essentially argue that the country should provide health care for illegal immigrants, no questions asked. The first, discusses the 1.1 million elderly people with no legal right to be here, who as a result, do not qualify for Medicare or federal Medicaid funding, which the authors call “dual ineligibility.” The article argues that these illegal residents should be covered by Medicare if they paid taxes, but realizing that is a political nonstarter, urge a combination of strategies. These range from states authorizing payments under Medicaid, to funding community health centers, to illegal elders being covered by their legal adult children’s health insurance. But what the authors really want Read More ›

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 ›

A doctor named Katherine A. Koh — who treats homeless people with Harvard Medical School’s Boston Health Care for the Homeless Program — cares deeply about her patients. But her policy prescriptions to help them become the formerly homeless will just keep the ongoing catastrophe rolling along. In the New England Journal of Medicine, she tells of the tragic death of one of her patients and the indifference of society to the tragedy. From “Invisible Deaths: Mortality Among People Experiencing Homelessness“: Jack died on a street corner. A larger-than-life figure, he stood more than 6 ft, 4 in. tall, exuded charismatic energy, and embraced the role of “king of the streets.” Then, at 49, he died without warning on a Read More ›

Cratering birth rates are threatening a “demographic winter,” according to a recent Wall Street Journal story, causing government leaders to believe that increasing the number of babies born has become “a matter of national urgency.” But the ever woke New England Journal of Medicine is having none of it. Instead, it published a bitter piece castigating “pro-natalism” that even deploys the ridiculous The Handmaid’s Tale cliché to make its points. From “Blessed be the Fruit” (citations omitted): “Pronatalism” is an attitude or policy approach that encourages childbearing and elevates the role of parenthood, specifically for women, as a necessary and positive societal contribution, often deliberately at the expense of women’s opportunities in education, governance, and the workforce. . . . Regardless of the stated motivations, such Read More ›