Op-Ed: Don’t deny that young trans people care about gender assertion

This year has seen a lot of legislation against transgender people. The administration of Florida Gov. Ron DeSantis is making policies to limit transgender care for minors and to block Medicaid coverage for this care for anyone. In 2022, legislation has been introduced in 20 states to “protect” young trans people, criminalizing surveillance that has been used safely around the world for decades.

There have been two notable victories in recent years in protecting trans health. A preliminary ruling in Alabama blocked the state from enforcing a ban on gender-based drug treatment for minors, and the Texas Supreme Court suspended a state investigation into a family with a transgender minor in a bid to try to treat Gender Greg Abbott as gender reassurance care. “child abuse.” While these resolutions are important, they cannot be challenged by state parliaments because they are based on toxic distortions and outright falsifications about science to promote trans-politics.

What these legislative efforts exclude is that gender-standard care is the standard medical care that is supported by major U.S. medical institutions, including the American Academy of Pediatrics (and its Alabama chapter), the American Medical Assn., The Endocrine Society, and the American Psychological Assn. and Texas Medical Assn. These treatments are not experimental.

Legislation that attacks medical care for young transgender people marks a new end for American scientific misinformation. Years of studies and scientific studies have established safe guidelines based on evidence to save lives and focus on gender confirmation. The medical ethics expressed in Hippocratic cinema and professional guidelines require not only the permission of physicians to be imparted, but also required.

The new law aims to make it ethical for doctors to act ethically. Meanwhile, young transgender people suffer from untreated pain, and some will die: Recent research has shown that more than half of young transgender people considered suicide serious and 20% committed suicide the previous year. At the same time, researchers report that the risk of suicide is reduced by confirming gender-based medical intervention, indicating that such a death can be prevented. The medical and legal communities need to join forces with the general public to address misinformation and harmful policies that block essential health care.

Many of these state proposals are presented with justifications that seem “scientific,” but unable to withstand real scientific analysis, as we showed in a new report with colleagues at Yale and Southwestern University in Texas.

Alabama Law A is an Exhibition. The state said that caring for gender assertion for minors is experimental and so dangerous that teenagers and their parents can’t really accept it. But that is nonsense, as U.S. Court Judge Liles Burke ruled. Parents measure the risks and benefits as they consider any approved medical treatment, in consultation with the child receiving care.

Alabama law also says there is no proven benefit in caring for gender reassurance. Indeed, research has shown that gender-based medical treatment significantly improves mental health and reduces anxiety, depression, and eating disorders, and the risk of suicide among transgender adolescents.

It is not true, as Alabama law says, that gender-sensitive care, including surgery, is encouraged by doctors to encourage children to be blessed. Medical treatment that confirms gender is given to teenagers, not teenage children. Major scientific organizations offer medical protocols to guide physicians and parents, as they only allow drug therapy when a teenager is diagnosed with gender dysphoria, when it is medically necessary, and only after a rigorous licensing process involving a mental health professional, parent or guardian, and a specialist. . doctor. Medical guidelines do not recommend genital surgery before someone is of legal age.

The American Academy of Pediatrics and other medical institutions filed an amicus summary to correct the Alabama case record. Major medical associations should do the same in other cases that arise. However, litigation has its limitations: litigation takes time, and because the law of each state is different, litigants must file cases that challenge new measures in every state, while life hangs in the balance.

To date, legal ethics has not provided any evidence against biased science. A Attorney General has a special duty of care as the highest legal officer in the state, and lawmakers can be sworn to “perform their duties honestly”. But Alabama lawmakers and Texas attorneys general, whose legal opinion provided coverage of Texas action, violated these standards by promoting factual distortions.

Biased accounts of the health of anti-science activists are difficult for non-experts to dispel. That’s why medical organizations need to work with law firms, such as the American Bar Assn., To address the misuse of science before it becomes law. These efforts may include legislative education programs to help legislators learn about true medical standards for transgender care.

Additional measures may include the readiness of medical and legal experts to provide accurate and prompt answers to incorrect statements in science. These rejections could be essential for journalists and the public as they seek events amidst political noise.

After all, the fight for good medical practice needs a united front. Every citizen has to deal with laws that interfere with standard care. The younger generation is seeing how we protect their rights. The biggest bet is for transgender teens and their caregivers, but we all have to hold politicians accountable for the truth.

Christy Olezeski is the director of the Yale Pediatric Gender Program and an associate professor at Yale Medical School, where Meredithe McNamara is an assistant professor. Anne Alstott is a professor at Yale Law School.

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