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Ah, gender care. Or "gender affirming care", as they like to call it in the States:

Gender-affirming care is a multidisciplinary approach that includes medically necessary and scientific evidence-based practices to help a person safely transition from their assigned gender – the one a clinician assigned them at birth, based mostly on anatomic characteristics – to their affirmed gender – the gender by which the person wants to be known.

Although the term gender-affirming care came into the public’s lexicon fairly recently, Dr. Madeline Deutsch, director of the UCSF Gender Affirming Health Program in San Francisco, said the practice has been around for some time and is based on decades of scientific research.

Major mainstream medical associations – including the American Medical Association, the American Psychiatric Association, the Endocrine Society, the American Psychological Association, the American Academy of Pediatrics and the American Academy of Child & Adolescent Psychiatry – have affirmed the practice of gender-affirming care and agree that it’s the gold standard of clinically appropriate care that can provide lifesaving treatment for children and adults.

“While we are always assessing the strength of the evidence for this kind of care, every major US medical association has found that the medical evidence is strong and in support of centers that provides this kind of care and have been doing so for decades,” said Dr. Kellan Baker, executive director of the Whitman-Walker Institute, a health care organization that works on LGBTQ+ issues.

That was written (or rather, last amended) just over a month ago. This what the US medical establishment believes, now – though, yes, before Trump. It's Orwellian stuff: the medical mutilation of troubled teens as "gender affirming care". As a medical scandal this surely dwarfs anything before. How on earth did it get to this?

As for the Cass Review:

This year, an extensive but controversial research review in the UK called the use of puberty-delaying medications into question, saying that the rationale for early puberty suppression was “unclear” and that any benefit for mental health was supported by “weak evidence.” The review — known as the Cass Review for Dr. Hilary Cass, the pediatrician who conducted it — has prompted providers in the UK to scale back their use of the treatment. However, its methodology have come under sharp criticism from some scholars and practitioners.

Hmm.

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