Dear NIH

A letter to request a systematic evidence review

Dear Dr. XXX,

Thank you for the work you do to support our country's health. I am a mother of a trans-identifying young adult who was a patient at the XXGender Clinic in XX. I have grave concerns about the state of so-called "gender affirming care" in the US and by what seems like the lack of evidence behind procedures offered both to minors and young adults. The extreme politicization of this issue and what is described as the "capture" of our institutions has led to resistance to investigate, which, in turn, hurts children like mine.

In other countries - England, Finland, Sweden, Norway, France - centralized medical agencies have completed systematic reviews of the evidence and, as a result, scaled back or stopped pediatric gender treatments.  Why aren't we doing that here in the US?  

Are you the Director to initiate such a review in the US?  If not, who is?  What would it take to undertake a centralized, thorough review of the research into pediatric gender medicine, of the kind undertaken by Dr Hilary Cass in England?

Thank you and best,

XXXX