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
I am guessing the reason this isn't happening in this way in the US is for two reasons.
1. Europe used to be the leader in transgender nonsense, pushing it far more readily than in the US. Now, they are seeing the outcomes and realizing that was a mistake and the new developments are a correction. This will happen in the US, too.
2. The US and the EU are founded on very different approaches to governance. The EU, and the separate countries before they were the EU, has/have always been more socialist-leaning than the US. They have always been more okay with a welfare state and central planning. In the US we would not have a centralized, government controlled entity that reviews scientific evidence. Thinking about that for 2 seconds will make that plainly obvious why not. But there are plenty of independent research groups that are capable of taking on the task of reviewing the evidence. Since works best this way, not by national decree.
Here's one. Jorgensen, S.C.J. Transition Regret and Detransition: Meanings and Uncertainties. Arch Sex Behav 52, 2173–2184 (2023). https://doi.org/10.1007/s10508-023-02626-2