A new report roils the debate on youth gender care

A comprehensive review commissioned by England’s National Health Service, released last week, found that gender transition medical treatment for children and young people has been built on “shaky foundations,” with “remarkably weak” evidence. The independent study — led by physician Hilary Cass, the former president of the Royal College of Paediatrics and Child Health — incorporates multiple systematic reviews “to provide the best available collation of published evidence,” as well as interviews with clinicians, parents and young people, in reaching its conclusions.

Referring to young people who have already been treated under these dubious circumstances, such as those at the Tavistock Centre’s now-closed Gender Identity Development Service, Cass wrote, “They deserve very much better.”

In the wake of the Cass Review’s release — which has rocked the British medical and media establishment, and might soon reverberate in the United States — many are asking how we got here. How did clinicians come to recommend the use of puberty blockers and cross-sex hormones to thousands of children and adolescents when there was insufficient evidence that these treatments were safe and effective?

Part of the reason is that “the toxicity of the debate is exceptional,” as Cass notes in her foreword: “There are few other areas of healthcare where professionals are so afraid to openly discuss their views, where people are vilified on social media, and where name-calling echoes the worst bullying behaviour. This must stop.”

https://www.washingtonpost.com/opinions/2024/04/18/cass-review-young-people-gender-transition/

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