There are some who see 1984 as less a cautionary tale and more an instruction manual. Witness Texas Gov. Greg Abbott this year siccing states on the parents of transgender minors. Meanwhile, a glut of bills, some of which have passed, banned gender-affirming care for trans boys and girls, with 10 years in prison the punishment for prescribing medication.
Proponents of such laws claim that this care is experimental, which they by extension imply harmful. Yet Science Based Medicine cited a systematic literature review of 52 studies, which show improvement in patients following gender-affirming medical intervention. By contrast, those who had not socially transitioned normally experienced depression and anxiety.
As to the notion that this is new, trans individual have taken cross-sex hormones since for more than a century and GnRHa first treated gender dysphoria in 1988. These are safe treatments, for as the Endocrine Society’s Clinical Practice Guidelines states, “Pubertal suppression is fully reversible, enabling full pubertal development in the natal gender, after cessation of treatment, if appropriate.”
Experimental treatments are those that serve as an intervention or regimen and have shown curative promise but which are still being evaluated for efficiency and safety. This does not apply to trans care, such as puberty blockers. The World Professional Association for Transgender Health has endorsed gender assignment surgery and medical therapy as being effective and even life-saving. These drugs inhibit puberty in order to enable the brain time to mature and to allow for exploration of gender identity. They are not prescribed for prepubescent children and are only given at the onset of secondary sex changes.
There is a wide gulf between medical treatments following careful consultation and foisting it upon the masses, which detractors claim is happening in schools. Also of note, the treatments are reversible and genital surgery for gender reassignment is rarely.
Nearly 30 major professional health organizations have recognized the medical necessity of treatments for gender dysphoria and endorse such treatments. As such, doctors should make these decisions after consultation with families; politicians on a fundamental religious bent should not be the ones dictating medical care.