494. 14,000 Minors, $120 Million: A Pediatric Medical Scandal | Dr. Jared Ross
In this episode of The Jordan B. Peterson Podcast, Dr. Jared Ross and Peterson explore the alarming prevalence of gender transition treatments for minors. According to insurance data, over 14,000 minors received these procedures—including mastectomies, castration, and genital reconstruction—across nearly 2,000 hospitals from 2019 to 2023. The enormous financial costs of over $120 million raise questions about the medical industry's potential profit motives.
Peterson and Ross express grave concerns regarding the surgeries' irreversible and disfiguring nature. They challenge the notion of gender self-determination for children, suggesting instead that social and political pressures from gender ideology may drive these interventions. The discussion highlights calls for greater scrutiny of gender medicine practices, hospital policies, and the motivations behind this rapidly expanding field.
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1-Page Summary
The scale and scope of gender affirmation treatments on minors
Data from insurance claims spanning 2019-2023 reveals a widespread pattern: over 14,000 minors received gender transition treatments across nearly 2,000 hospitals, including 6,000 minors who underwent major surgeries like mastectomies, castration, and genital reconstruction. 9,000 minors were prescribed puberty blockers and cross-sex hormones, totaling over 63,000 prescriptions. These procedures cost over $120 million in insurance claims.
The harms and dangers of these medical interventions
Jordan Peterson expresses serious concerns about gender affirmation treatments, calling the surgeries "mutilative" and "irreversible." He details how these invasive procedures involve removing and reconstructing genitalia, permanently disfiguring the body. Peterson argues surgically created genitalia lack normal function and come with high risks of complications.
Peterson questions minors' ability to give truly informed consent, suggesting interventions like puberty blockers prevent normal development and may exacerbate psychological issues like depression. He implies the "gender transforming industry" sometimes targets vulnerable populations.
The financial and institutional incentives driving the gender affirmation movement
Peterson and Ross characterize gender transition treatments as a "growth industry," with marketing reports projecting 15% annual growth. This lucrative field suggests potential financial motives among practitioners beyond patient wellbeing.
Major children's hospitals and medical centers are heavily involved in providing these profitable procedures. Ross notes efforts to decentralize the treatments while obscuring financial motives through miscoding and vague documentation. Peterson deems the procedures "super profitable" and implies the medical-industrial complex benefits from creating lifelong patients.
The ideological and political forces behind the gender affirmation movement
Ross disputes the separation of gender from biological sex, arguing there's no scientific evidence for more than two sexes. Peterson asserts certain ideologies aim to dismantle categories like sex, with surgeries used as proof of sex changes.
They claim professional medical and psychological organizations have been "captured" by gender ideology that views children as able to self-determine gender identity regardless of biological sex.
Peterson and Ross suggest clinicians may feel pressured to affirm—rather than treat—gender dysphoria. They point to potential influence from social justice aspirations in regulations, university policies, lawmakers, and the Biden administration's support for gender identity.
Strategies and actions to address and counter the gender affirmation movement
Ross praises the "Stop the Harm" database exposing hospitals' roles in gender treatments, but acknowledges it likely only captures "the tip of the iceberg." Peterson advocates making gender surgeries for minors illegal.
They emphasize raising public awareness by publicizing data and evidence, challenging dismissals of the issue as a right-wing conspiracy. Targeted pressure on hospitals, medical associations, and policymakers could help curb harmful practices.
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Counterarguments
- The medical community, including the American Academy of Pediatrics and the Endocrine Society, supports gender-affirming care for minors as evidence-based and potentially lifesaving.
- Gender-affirming surgeries are typically not recommended or performed on minors, with most guidelines suggesting waiting until the age of majority; non-surgical interventions like puberty blockers are reversible.
- Puberty blockers are a well-established treatment to delay puberty, giving minors more time to explore their gender identity without the added stress of unwanted physical changes.
- Cross-sex hormones have been used for decades and have well-documented benefits for the mental health and well-being of transgender individuals when administered under medical supervision.
- The concept of informed consent for minors is complex and involves assessing the maturity and understanding of the individual, often with the support of parents and healthcare professionals.
- The increase in gender-affirming treatments may reflect a growing recognition and acceptance of transgender identities, leading to more individuals seeking care.
- Financial incentives exist in all areas of medicine, not just gender-affirming care, and do not necessarily imply that patient well-being is not the primary concern.
- The characterization of gender-affirming care as "super profitable" may overlook the financial barriers and insurance challenges that many transgender individuals face when seeking treatment.
- Scientific understanding of sex and gender is evolving, and many researchers recognize gender as a spectrum rather than a binary.
- Medical and psychological organizations' positions on gender identity are based on a growing body of research and clinical experience, not solely on ideology.
- The suggestion that clinicians are pressured to affirm rather than treat gender dysphoria may not account for the individualized approach to care that is standard in medical practice.
- The "Stop the Harm" database and similar initiatives may not provide a balanced view of the benefits and risks of gender-affirming treatments.
- Making gender surgeries for minors illegal could deny necessary care to those who need it and are deemed capable of informed consent by healthcare professionals.
- Public awareness campaigns should present balanced information, including the benefits of gender-affirming treatments and the perspectives of transgender individuals and medical experts.
- Targeted pressure on medical institutions may undermine the patient-provider relationship and the ability of healthcare professionals to provide care based on the best available evidence.
Actionables
- You can educate yourself on the complexities of gender health by reading diverse sources, including medical journals, patient narratives, and ethical discussions. By doing so, you'll gain a more nuanced understanding of the topic, which can inform your conversations and personal opinions. For example, you might read articles from The New England Journal of Medicine, personal stories on platforms like Medium, and ethical analyses from university philosophy departments.
- Start a personal journal to reflect on your values and beliefs regarding medical consent and patient autonomy. This practice can help clarify your stance on complex issues and may guide your future decisions or advocacy efforts. For instance, after learning about the concerns surrounding minors' consent, you might journal about how you believe consent should be handled in different medical scenarios.
- Engage in constructive dialogues with friends or family members to explore different perspectives on gender health without trying to change anyone's mind. The goal is to listen and share thoughts respectfully, which can lead to a deeper understanding of the societal implications. You could initiate a conversation by sharing a thought-provoking question, such as "How do we balance individual rights with societal concerns in healthcare?"
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The scale and scope of gender affirmation treatments on minors
Recent analysis of insurance claim data has revealed a large-scale occurrence of gender affirmation treatments among minors, highlighting a widespread pattern across numerous medical facilities.
Data shows a large-scale and widespread problem
Analysis of insurance claims reveals over 14,000 minors underwent gender transition treatments across nearly 2,000 hospitals from 2019-2023
Jordan Peterson points to data from an analysis conducted by Do No Harm, using insurance claim figures from 2019 to 2023. It shows that a total of 14,000 minors received gender transition treatments across nearly 2,000 hospitals. The data only includes individuals up to the age of seventeen and a half, underscoring that the issue is concerning minors.
Approximately 6,000 minors received sex change surgeries like double mastectomies, castration, and creation of artificial genitalia
Peterson highlights the types of surgeries involved, mentioning that about 6,000 minors underwent serious operations such as double mastectomies, castration, and the creation of artificial genitalia. The volume of these surgeries raises questions about the medical, ethical, and social implications of such procedures on children and adolescents.
Over 63,000 cross-sex hormone and puberty blocker prescriptions were written for around 9,000 minors
In addition to surgeries, there were over 63,000 cross-sex hormone and puberty blocker prescriptions written for app ...
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The scale and scope of gender affirmation treatments on minors
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Counterarguments
- The data may not accurately represent the context of each individual's treatment, as insurance claims alone do not provide a complete picture of the patient's medical history, mental health assessments, and the informed consent process.
- The term "problem" is subjective and may not reflect the perspective of healthcare professionals who view these treatments as necessary for the well-being of transgender minors.
- The number of treatments should be considered in the context of the overall population and the prevalence of gender dysphoria, which could indicate that the treatments are not as widespread as they may seem.
- The focus on the cost of procedures does not account for the potential long-term savings associated with improved mental health outcomes and reduced healthcare costs from untreated gender dysphoria.
- The implication that minors are not capable of making informed decisions about their healthcare with the support of their parents and healthcare providers can be challenged by evidence of the efficacy of these treatments and the established protocols for ensuring informed consent.
- The use of terms like "sex change surgeries" may not accurately reflect the medical ...
Actionables
- You can deepen your understanding of the financial implications by tracking your own healthcare expenses. Start by creating a simple spreadsheet where you log any medical costs you incur over a period of time. This will give you a personal insight into how healthcare expenses accumulate and may help you empathize with the financial aspect of the treatments mentioned.
- Consider volunteering with organizations that support youth in healthcare decisions. By offering your time to such groups, you can provide practical assistance or companionship to minors making significant health decisions. This hands-on approach allows you to contribute positively to the lives of those facing similar challenges as those described.
- Educate yourself on healthcare policies by reading up on current insuran ...
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The harms and dangers of these medical interventions
Ross and Jordan Peterson express serious reservations regarding medical interventions for gender transition, discussing the irreversible nature of surgeries and the psychological impact on minors.
The mutilative and irreversible nature of the surgeries
Peterson refers to gender affirmation surgeries as “mutilative, irreversible” and compares them to experiments in history criticized for their inhumanity. He details the extremity of the procedures, suggesting that they entail creating lifelong patients within the "medical-industrial complex."
Procedures involve removing and reconstructing genitalia, often using skin and tissue from other body parts
These gender-affirming surgeries involve radical changes to the body such as closing up a vagina to build a penis, or, conversely, transforming male genitalia into surgically created vaginas. This often involves removal of skin and flesh, which Peterson describes as akin to leaving behind "skin-wrapped bone."
Surgically created genitalia lack normal function and come with high risks of complications and lifelong issues
Surgically constructed genitalia do not function normally and come with significant risks, including internal hair growth, infections, and the necessity for ongoing maintenance, such as the regular insertion of dilators to prevent closure.
Procedures like double mastectomies are permanently disfiguring
Peterson cites the case of Chloe Cole, a detransitioner, who underwent a double mastectomy and experienced non-healing wounds that resulted in permanent disfigurement. This example underscores the potential physical harm and permanent nature of these interventions.
The psychological and developmental impact on minors
The speakers also discuss the psychological ramifications of gender-affirming treatments on minors and question the capability of minors to give informed consent to these life-altering decisions.
Minors lack the capacity to give truly informed consent to these experimental and harmful treatment ...
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The harms and dangers of these medical interventions
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Clarifications
- Ross and Jordan Peterson express reservations about medical interventions for gender transition, particularly focusing on the irreversible nature of surgeries and the psychological impact on minors. They raise concerns about the mutilative aspects of gender affirmation surgeries and question the ability of minors to provide informed consent for such life-altering procedures. Peterson highlights the risks and complications associated with surgically constructed genitalia and emphasizes the potential physical harm and permanent consequences of these interventions. Additionally, they discuss the psychological ramifications of gender-affirming treatments on minors, suggesting that these interventions may have severe psychological consequences and hinder normal pubertal development.
- Gender-affirming surgeries involve altering the genitalia to align with a person's gender identity. This can include procedures like constructing a penis from vaginal tissue or creating a vagina from penile tissue. These surgeries are irreversible and carry risks such as complications and the need for ongoing care. The surgeries aim to alleviate gender dysphoria and help individuals live more authentically in their affirmed gender.
- Surgically created genitalia in gender affirmation surgeries can lack normal function, leading to issues like internal hair growth, infections, and the need for ongoing maintenance. Complications can include the risk of non-healing wounds, which may result in permanent disfigurement. These procedures can require regular care, such as the use of dilators to prevent closure and maintain the constructed genitalia. The risks and complications associated with surgically created genitalia highlight the complex nature of gender-affirming surgeries and the importance of thorough consideration before undergoing such interventions.
- Gender-affirming treatments for minors can have psychological ramifications due to the complex nature of gender identity development in youth. These treatments, such as puberty blockers and surgeries, may impact a minor's mental health by altering their physical appearance and potentially affecting their emotional well-being. The decision-making capacity of minors in consenting to such treatments is a point of concern, as they may not fully comprehend the long-term implications on their mental health and identity. Additionally, the societal and familial reactions to a minor undergoing gender-affirming treatments can also contribute to their psychological well-being and overall adjustment.
- Minors lacking the capacity to give informed consent to medical treatments is based on the understanding that children and adolescents may not have the cognitive maturity or life experience to fully comprehend the risks, benefits, and long-term consequences of medical interventions. This concept is rooted in the idea that minors may not possess the legal or emotional maturity to make complex decisions about their health, especially when it involves irreversible procedures that can impact their future well-being. It is a fundamental principle in medical ethics to ensure that individuals, particularly those who are underage, are protected from making decisions that they may not fully understand or that could harm them in the long run. This concept underscores the importance of considering factors like cognitive development, emotional readiness, and the ability to weigh consequences when determining a minor's capacity to provide informed consent for medical treatments.
- Puberty blockers and surgeries for gender transition in young individuals can have significant psychological consequences by potentially impacting their emotional well-being, exacerbating conditions like depression and anxiety. These interventions may interrupt the natural process of puberty, affecting the in ...
Counterarguments
- Gender affirmation surgeries are considered by many medical professionals and transgender individuals as life-saving and essential for alleviating gender dysphoria.
- Modern surgical techniques have advanced, and while there are risks, as with any surgery, many individuals report satisfaction with the outcomes and improved quality of life.
- The concept of "normal function" for genitalia can vary greatly among individuals, and what is most important is the alignment of physical characteristics with an individual's gender identity.
- Many healthcare providers follow established guidelines to ensure that minors are given appropriate counseling and support to understand the implications of medical interventions.
- The capacity of minors to consent to medical procedures is supported by a framework of legal and ethical standards, and in many cases, they are deemed capable of making informed decisions with parental and medical guidance.
- Puberty blockers are a reversible intervention that can provide time for minors to explore their gender identity with ...
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The financial and institutional incentives driving the gender affirmation movement
The discussion surrounding gender affirmation treatments is not just about patient wellbeing but also involves substantial financial and institutional motives.
Characterization of gender transition treatments as a "growth industry"
Ross and Peterson explore the idea that gender transition treatments represent a booming medical sector.
Marketing reports projected 15% annual growth in this medical sector
Marketing reports project a 15% annual growth in the medical sector related to gender transition, suggesting potential financial gain as a motivating factor for some practitioners and clinics.
Suggests some practitioners may be motivated by financial gain rather than patient wellbeing
The lucrative nature of these procedures might influence the motives of some medical practitioners, who may prioritize financial gain over patient wellbeing.
The capture of medical institutions by gender ideology
Revelations about children’s hospitals and major medical centers reveal financial motivations within these institutions due to the increasing demand for gender transition procedures.
Major children's hospitals and medical centers are heavily involved in providing these treatments
Major children's hospitals and other medical centers are deeply involved in the provision of gender transition treatments, aligning their practices with the rising demand.
Hospitals stand to profit greatly from the surge in demand for these lucrative procedures
The surge in demand for gender transition procedures suggests significant profitability for hospitals involved, further confirming the strong financial incentives at play.
Ross has observed efforts to decentralize gender transition procedures from children's hospitals to other facilities such as community medicine clinics and surgery centers. He noted practices such as miscoding procedures and vague documentation potentially aimed at obscuring t ...
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The financial and institutional incentives driving the gender affirmation movement
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Counterarguments
- The projected growth in the medical sector related to gender transition may reflect increasing societal acceptance and recognition of transgender individuals, rather than purely financial motives.
- Many practitioners are motivated by a genuine desire to help patients and are guided by ethical considerations, professional standards, and evidence-based practices.
- Major children's hospitals and medical centers provide a wide range of necessary medical treatments, including gender transition treatments, as part of comprehensive healthcare services.
- The involvement of hospitals in providing gender transition treatments can also be seen as a response to a legitimate and underserved healthcare need within the transgender community.
- Decentralizing gender transition procedures can be a way to increase access to care and reduce wait times for patients, rather than a tactic to obscure financial involvement.
- Miscoding procedures and vague documentation, if they occur, are not representative of the practices of all medical institutions and should be addressed on a case-by-case basis.
- Characterizing gender affirmation treatments as "super profitable" may overlook the complexity of healthcare economics and the fact that not all treatments are profitable for providers.
- The medical-industrial complex ...
Actionables
- You can educate yourself on the complexities of gender transition treatments by reading diverse sources, including medical journals, patient narratives, and ethical discussions. This broadens your understanding beyond the financial aspects, helping you form a well-rounded perspective on the implications of such medical procedures.
- Start a personal blog or social media page where you share insights and resources about the ethical considerations in medical treatments, focusing on patient wellbeing. This can foster community discussions and raise awareness about prioritizing patient care over profit in healthcare.
- Vol ...
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The ideological and political forces behind the gender affirmation movement
Peterson and Ross discuss the considerable shift in the medical and psychological professions in the approach towards gender transition surgeries and gender identity.
Rejection of biological sex in favor of fluid gender identity ideology
Claim that sex and gender are separate, despite lack of scientific evidence
Ross brings attention to the biological aspects of sex differentiation and the sociological aspects of gender roles. He notes that while transgender ideologues often cite the intersex community—those with disorders of sex differentiation—as evidence for the existence of more than two sexes, these conditions do not create a spectrum of sex but rather consist of males or females with developmental variations. Disputing this claim, Ross points out a lack of psychometric evidence to separate gender from biological sex categorically.
Peterson further argues that certain ideologies inspired by postmodernist thought aim to dismantle established categories such as biological sex. The acceptance of surgeries as sufficient proof of sex change prompts a re-evaluation of fundamental perceptual categories.
Ideology holds that children can decide their gender identity, regardless of biological sex
Peterson discusses the contentious belief that children can self-determine their gender identity despite being too young to give informed consent. This perspective posits that children may inherently sense that they are in the wrong bodies, irrespective of their biological sex.
Capture of medical and psychological institutions by social justice priorities
Professional organizations have been "captured" by gender ideology, forcing compliance
Peterson criticizes professional organizations, such as the Canadian Psychological Association—or entities with similar authority—and suggests they have succumbed to social justice ideology which may have affected their treatment approaches to gender dysphoria. He asserts that these regulations compel clinicians to align with an ideological belief system rather than a scientifically grounded one.
The rapid adoption of WPATH's guidance by major medical and psychological institutions further illustrates a possible ...
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The ideological and political forces behind the gender affirmation movement
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Clarifications
- Ideologies influenced by postmodernist thought seek to challenge traditional concepts like biological sex as fixed and binary. They argue that societal constructs shape our understanding of gender and that these constructs can be deconstructed and redefined. This perspective questions the idea of a strict link between biological sex and gender identity, advocating for a more fluid and individualized approach to self-identification. Postmodernist-influenced ideologies aim to break down rigid categories and encourage a more nuanced understanding of identity beyond traditional norms.
- The lack of psychometric evidence to categorically separate gender from biological sex means there is a scarcity of scientific data supporting the distinct measurement and assessment of gender identity apart from biological sex. This suggests that there is a challenge in objectively quantifying and validating the separation of gender identity from biological sex through standardized psychological measurement tools. The absence of robust psychometric evidence hinders the establishment of clear and universally accepted criteria for delineating gender identity as a separate construct from biological sex. This gap in empirical validation raises questions about the scientific basis for asserting a complete dissociation between gender identity and biological sex.
- The acceptance of surgeries as proof of sex change challenges traditional views on how we perceive and categorize biological sex. This shift prompts a re-evaluation of the fundamental ways in which we understand and define gender identity. It questions the long-held beliefs about the permanence and immutability of biological sex based on the physical changes brought about by surgical interventions. This re-evaluation reflects a broader societal reconsideration of the relationship between physical characteristics and gender identity.
- The World Professional Association for Transgender Health (WPATH) provides guidelines for the care of transgender individuals. The rapid adoption of WPATH's guidance by major medical and psychological institutions means that these organizations are incorporating WPATH's recommendations into their practices. This alignment indicates that these institutions are following the standards and best practices set forth by WPATH in the treatment of transgender individuals. The adoption of these guidelines reflects a broader acceptance and recognition of transgender healthcare needs within the medical and psychological fields.
- Sociocultural and institutional pressure can influence individuals and professionals to support and validate gender dysphoria without thoroughly addressing underlying issues. This pressure may stem from societal norms, professional guidelines, and ideolo ...
Counterarguments
- The distinction between sex and gender is widely recognized in both scientific and medical communities, with sex referring to biological attributes and gender referring to social and cultural roles and behaviors.
- Scientific evidence does suggest that gender identity is a complex interplay of biological, psychological, and social factors, and is not solely determined by biological sex.
- Intersex individuals demonstrate that sex characteristics can vary beyond the typical male and female categories, which can be seen as a natural variation within the human species.
- The concept of gender fluidity acknowledges the diversity of gender experiences and can be supported by personal testimonies and qualitative research, even if quantitative psychometric evidence is still evolving.
- Postmodernist thought does not necessarily aim to dismantle established categories but often seeks to understand and deconstruct the power dynamics within those categories.
- The concept of informed consent for children is nuanced, and there are established legal and ethical frameworks for determining a child's capacity to consent to various medical treatments, including those related to gender identity.
- Professional organizations adopt guidelines based on a consensus of current research and expert opinion, which may evolve over time ...
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Strategies and actions to address and counter the gender affirmation movement
Jared Ross and Jordan Peterson discuss strategies for addressing and countering the gender transition treatment movement, highlighting the importance of data collection and raising public awareness. Peterson advocates for legal changes, suggesting that gender transformation surgeries should be made illegal.
Gathering comprehensive data on the scale of the problem
The "Stop the Harm" database is an important first step in quantifying the issue
Jared Ross speaks about the release of the "Stop the Harm" database, a project by the organization Do No Harm. Ross praises the database for its navigability and encourages individuals to visit their website to explore the data it has gathered on children’s hospitals' involvement in gender transition treatments.
More data collection is needed to fully understand the scope, as the current data likely only captures the "tip of the iceberg"
Ross acknowledges that while the database is an important resource, it likely only represents a fraction of the total cases and suggests that the underlying issue is more substantial. More data collection is necessary to fully grasp the extent of the problem.
Raising public awareness and pressuring institutions
Jordan Peterson underlines the need for parents and the public to question claims made by medical professionals and advocates for the protection of children from overreaching medical practices. Raising awareness among parents and the public, and challenging the narrative that concerns over gender transition treatments are merely a right-wing conspiracy could be important steps in countering the movement.
Publicizing the data and compelling evidence can help overcome dismissals of this as a "right-wing conspiracy"
Ross suggests that publicizing the situation is necessary to raise awa ...
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Strategies and actions to address and counter the gender affirmation movement
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Counterarguments
- The "Stop the Harm" database may have limitations in its methodology or biases in data collection, which could affect the reliability of its findings.
- Data collection efforts must ensure privacy and ethical standards are maintained, especially when dealing with minors and sensitive health information.
- Making gender transformation surgeries illegal could infringe on the rights of adults to make informed decisions about their own bodies and medical care.
- Public awareness campaigns should be balanced and include perspectives from medical professionals who support gender transition treatments based on evidence of their benefits for certain individuals.
- Concerns over gender transition treatments should be addressed through scientific debate and evidence-based policy rather than through legal bans, which may not consider individual patient needs.
- Publicizing data and evidence should be done responsibly, ensuring that information is accurate, contextualized, and does not contribute to stigma ...
Actionables
- You can educate yourself on the complexities of gender health by reading diverse medical literature and studies from multiple perspectives to form a well-rounded understanding of the issue.
- By seeking out peer-reviewed articles, books, and case studies from both proponents and critics of gender transition treatments, you'll gain a deeper insight into the debate. For example, you might read a medical journal article on the long-term effects of hormone therapy and then a sociological study on the lived experiences of individuals who have undergone gender transition treatments.
- Start a blog or social media page where you share and discuss scientific studies and personal stories related to gender transition treatments to foster informed public discourse.
- Use your platform to highlight lesser-known research and narratives that contribute to a more nuanced conversation. For instance, you could summarize a new study on the outcomes of gender transition treatments and invite respectful discussion from your followers, encouraging a fact-based dialogue rather than one fueled by misinformation.
- Encourage critical thinking by starting a virtual book club focused on reading and discussing works related to gender health, medical ethics, and patient ...
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1-Page Summary- The scale and scope of gender affirmation treatments on minors
- The harms and dangers of these medical interventions
- The financial and institutional incentives driving the gender affirmation movement
- The ideological and political forces behind the gender affirmation movement
- Strategies and actions to address and counter the gender affirmation movement
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