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Karen Bee's avatar

Dr. Levine has fathered children and knows he is male. And yet, to exhibit his cold, cold heart, he doesn't care that so called "gender affirming" care will sterilize children who have puberty blockers, will take away the female pleasure of breast feeding for the growing number of girls having double mastectomies because they are being lied to by politicians, the medical, media and educational institutions. The lie is that they can change sex and thus escape femaleness like a house on fire: many girls seeking "transition" have been sexually abused and have underlying mental health issues, as have the boys doing the same. The US health system is such a mess that all the medical associations/institutions support this insanity. Look to the UK Cass Review for a health system that is correcting its horrific mistakes in pushing "gender affirming care." The Cass Reviews conclusion was, basically, "gender affirming care" does nothing to alleviate these kids confusions, delusions and mental health. In the US, unlike Sweden, Norway, France, Denmark etc.,who are following its recommendations, the thorough Cass Review is ignored and lied about. Instead, the discredited WPATH (see the WPATH files) is still cited. Do the supporters of "gender identity" ideology and "affirmative care" want to safeguard our children? Or are they using them for ideological purposes?

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Matt Mullen's avatar

"The Cass Reviews conclusion was, basically, "gender affirming care" does nothing to alleviate these kids confusions, delusions and mental health."

That is not true. You need to read the recommendations again.

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Karen Bee's avatar

Here is the report for those who want to see for themselves: https://cass.independent-review.uk/home/publications/final-report/

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Matt Mullen's avatar

From The Overview of Recommendations:

"The puberty blocker trial previously announced by NHS England should be part of a programme of research which also evaluates outcomes of psychosocial interventions and masculinising/ feminising hormones."

"The option to provide masculinising/feminising hormones from age 16 is available, but the Review recommends extreme caution. There should be a clear clinical rationale for providing hormones at this stage rather than waiting until an individual reaches 18. Every case considered for medical treatment should be discussed at a national Multi- Disciplinary Team (MDT)."

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Pangloss's avatar

I think a better note is in the summary, where it says:

The rationale for early puberty suppression remains unclear, with weak evidence regarding the impact on gender dysphoria, mental or psychosocial health. The effect on cognitive and psychosexual development remains unknown.

That means essentially what Karen Bee claims, at least systemically. The main issue with all of this is that such treatment may help certain individuals, while broad application is not supported by the evidence. There are cases, such as those reflected in research at https://doi.org/10.1101/253310 and https://doi.org/10.1186/s13293-015-0022-1, where there is a biological basis for gender dysphoria, but those kids are atypical. The point is: care needs to be individualized not generalized; the government (on all sides) really needs to stay out of it; medical providers should be held liable for outcomes according to an evidence based standard of care.

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Matt Mullen's avatar

WPATH disagrees strongly, for science-based reasons.

In contrast to what the Cass Review recommends, WPATH and USPATH firmly stand

by the Standards of Care for the Health of Transgender and Gender Diverse People –

version 8, which was published in 2022—and based on far more systematic reviews

that the Cass Review—in collaboration with The School of Evidence-based Practice

Center at Johns Hopkins University and considers that the (research and consensusbased) evidence is such to recommend that providing medical treatment including

puberty-blocking medication and hormone therapy is helpful and often life-saving for

young TGD people, while withholding such treatment may lead to increased gender

dysphoria and adversely affect psychological functioning. Of note, many countries

have reacted critically regarding the Cass Review, disagreeing with its unfounded

medical opinion to severely limit the use of puberty-blocking medication and

hormone therapy for TGD young people. These countries include Canada, the

Netherlands, Belgium, Germany, Austria, Switzerland, and many states in the United

States. In Germany, a new guideline on adolescent transgender care has been

drafted (in collaboration with Austria and Switzerland) and is currently under review

by 27 professional societies. As drafted, this guideline does not restrict puberty

blockers and is in broad accordance with the WPATH SOC8 recommendations in its

adolescent chapter. The Cass Review appears to be an outlier, ignoring more than

three decades of clinical experience in this area as well as existing evidence showing

the benefits of hormonal interventions on the mental health and quality of life of

gender diverse young people (1-9).

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