Should hospitals stop providing gender-affirming care to transgender minors?
The New York Times reported that six major U.S. hospitals reached agreements with the Justice Department to halt gender-affirming care for transgender patients under 19.
Discussion (9)
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Support and love, but adults know that minors are still evolving in all things. It is not a “no”; but it is a pause until they can make the decision as an adult. Eyes wide open.
As per JE_Thomas: In principle, hospitals (and other healthcare facilities including medical offices) should provide evidence-based state-of-the-art care to all comers. The caveat is evidence-based care. Several commentators have pointed out that the evidence for aggressive gender affirming care for minors, as opposed to supportive care, is fraught with uncertainties and unclarities (my word). I'm an adult internist, not a pediatrician, so I'm unable to comment with meaning. Given that the FDA/NIH/CDC et alias are rapidly abdicating their positions as aloof arbiters, we'll have to depend on (obviously uninvolved, disinterested, impartial) committees of qualified pediatricians, endocrinologists, psychiatrists/psychologists to evolve recommendations. I tend to side with dagman: Irreversible is pretty much just what it says.
Agreed. The hard part now is knowing which institutions can still be trusted as neutral arbiters.
Yeah, o' course. For the nonce, 'til evidence (see how I roped that in) shows otherwise, I'm inclined to trust the major pediatric and psychiatric organizations. Nothing else to go by, is there?
For sure those over any political body. No body is completely apolitical, but as close as we can get.
Hospitals are facilities. The question is whether or not gender affirming care is based on good evidence.
Providing support and counseling, sure. When it comes to irreversible procedures, those seem like decisions better made when you're an adult.
If you're voting "no, keep providing it" — is there any age or treatment that should still be off limits, or is this a parents-and-doctors-only call all the way down?
Age itself isn't the question. Gender affirming care covers a lot of bases. Care should be age appropriate and consistent with best available evidence. This is a medical issue not a social one.