Why Did We Need Those Reports At All?
It was obvious from the start that 'gender affirming care' was barbaric hokum. You didn't need government reports to tell you that.
It's 2025. Both the US and the UK have now produced reports that show the evidence base for 'gender affirming care', especially in minors, is completely deficient in showing its efficacy and riven with methodological flaws from poor quality studies. There is no scientific basis to any of this 'treatment', and it's time to leave the kids alone. Thanks, Captain Obvious. I can’t wait for the take of Captain Hindsight on this issue.
The response to this from the right has been 'we knew it all along', despite the fact they were relatively late to the party. It was gay and lesbian activists who raised the alarm first, and subsequently bore the brunt of the backlash for doing so - these same activists are the ones who will be picking up the pieces once the Matt Walshes of the world have moved on to be insufferably smug and misogynistic about something else.
The liberal-left reaction has been mixed, ranging from accepting the results and implementing them, to insane levels of science denial, idiotic ‘debunkings’ specializing only in pedantry and incoherent tantrums so epic and incredible they deserve Wikipedia pages.
I’m not interested in discussing the content - I've been discussing the content of those reports for nearly ten years. I don’t want to join the conga line of people regurgitating the information contained therein.
The most important story about the HHS report, or the Cass Review isn't about these reviews themselves, or their contents. Nor the reaction to these reports. The most important question to ask is why on God’s green Earth they were necessary in the first place.
Because they should have never been needed. They are the outcome of complete and utter negligence, from top to bottom.
It's abject failure that brought us to this point. Without abject failure, those reports don't happen.
Abject failures by the universities and hospitals. An abject failure by the entire medical community, who by and large, let this happen and harangued anyone who tried raising an alarm. Abject failure by the various national governments who appointed activists to cheer and shepherd this through their healthcare systems. The abject failure of the gay organizations who turned Uncle Tom for those sweet sweet philanthropic Benjamins. The greatest abject failure of all, I think, however, is the media. They are the last line of defense - perhaps the only line of defense against this level of medical malpractice.
But they too, cheered it on. They didn't ask questions. They wrote style guides that said questioning this medical scandal was bigotry. They harassed people out of their jobs. They ran cloying articles about suicide and whitewashed pure barbarism on the nation's television sets.
The HHS and the Cass Review are the product of independent journalists willing to actually ask questions. Of women who lost their jobs, of gays and lesbians exiled from their communities for taking a stand. They are not the product of anyone who should have stopped this before it started. They are not the product of a bold Fourth Estate or ethics panels, or peer review or liberal politicians. No, those people cheered on the castrations. Instead of thinking for themselves, they ate from the trashcan of ideology.
How on earth did no one in charge question what was happening, until it was too late? One life ruined by this nonsense was more than enough, yet there are tens of thousands, if not hundreds of thousands, who will have been permanently and avoidably castrated and live short, painful lives thanks to this monstrous experiment disguised as ‘medicine’.
Because this wasn't a well meaning experiment gone wrong. It didn't require the next Einstein to figure out that this was a bad idea. Almost every issue raised in the Cass and HHS reports, I wrote about in 2018. I'm a scientific layman with a humanities degree, or in STEM parlance, an arsty-fartsy useless-degree-holding basket weaving dumb-dumb. And even I could see these studies were low-quality.
I wasn't the first. Others were writing about this much earlier. We all found the same problems with these 'studies'. Problems that were so obvious that everyone who endorsed them was actively in dereliction of their duty of care to children.
These studies had no control groups. They had small sample sizes with high drop out and low follow up rates. They were published in journals titled along the lines of 'Journal Of Transgender Health', not exactly neutral territory. They admitted that they had no evidence for the efficacy of long term use while their authors advocated for lifelong use of these treatments in the media and to the courts. They used cancer drugs and cross-sex hormones in novel ways with no evidence, all off label, in perfectly healthy children. They had no clear definition of 'gender' for God's sake. Five elements of the diagnostic criteria for 'childhood gender dysphoria' relied wholly on sexist stereotypes to the point a whole lot of gay people would have ended up diagnosable as a child under those criteria, including yours truly.
And that last part is really the proof in the pudding, isn't it? Who did this predominantly damage? Young kids who probably would have grown into healthy gay adults. This was conversion therapy - that's something the Cass and the HHS reports and a lot of politicians will talk around, but never quite acknowledging. The natural biological destination for these kids was to be homosexuals, and god forbid the liberal leaning middle and upper class parents on the coasts who paid a fortune to mutilate their children have a gay child. Oh, the humanity! Quick, cut off his dick before he grows up and shoves it in another man's ass! That's the real evil here!
If the past ten years have proven anything, it's that despite their many protests, the liberal-left in the West hates homosexuals quite passionately, because otherwise they wouldn't have been so proud to cheer this on. What use are gay rights if you can't exercise them? What use is legalizing same sex relations if you had your dick and balls cut off at 17?
This whole scenario is a result of a cascade of willful ignorance, homophobia, and people not questioning what they are told. There was no hidden scandal. There was no cover up. A group of doctors were actively practicing experimental castrative conversion therapy on children, and the vast majority of the chattering classes cheered it on. This experimentation on children was even broadcast as a freak show on The Learning Channel. This was no Andrew Wakefield making up stories. The studies openly admitted they were doing these things on the basis of sexist stereotypes and homophobia, not evidence.
If you have to relentlessly start witch-hunts against anyone who questions your 'science' or 'medicine', rather than defending it on the basis of it's own merits, you're not doing ‘science'. You’re propagating bullshit, and you know it.
Why did the science media, so keen to jump down the throats of antivaxxers, support something that was based on an equally large foundation of pseudoscientific nonsense? How did so many ethics panels think any of this was in any way a good idea? How did the children's hospitals justify mutilating children? How did no mainstream news organization write an extensive investigation on the topic until very recently? Why did it take so long for the government to step in, instead of trying to make it illegal to not mutilate these children? Why did every set of checks and balances completely fail?
I'm not blameless. I supported this too, briefly. I went along and parroted the lines despite my deepening discomfort. But then I followed the science, and realized how atrocious it was. I was angry - I'd been lied to. Instead of pretending all was well, I spoke out. I thought others would agree with me, the flaws and poor quality of the studies were so obvious. Instead I got called a bigot and a danger to children.
But I wasn’t alone in the long run. Thousands of others had the same courage in the face of such horrific backlash - including people who lost custody of their children over it, which is why the HHS report and the Cass Review now exist and this mutilation of children is being banned in more and more states.
But this shit should have never have flown in the first place. It required a systemic failure of all the checks and balances we're supposed to trust. The minute a young man died at eighteen from a necrotic vaginoplasty he didn't, and never needed in the original Dutch Protocol study1, everyone should have packed up and gone home. The media should have called it out. There should have been inquiries and recriminations, a promise to never do this again. Instead, they continued and were cheered on, no matter how many corpses resulted from 'gender affirming surgery’. Their response? Shut up and let the scientician remove your ovaries, young lady, you like trucks and girls just a little too much.
The only mainstream, large organization to have consistently called this anti-life barbarism , well, anti-life barbarism, was the Catholic Church, of all things.
Even though the mainstream is finally waking up to the medical scandal blatantly going on under their noses, even though politicians are banning this nonsense, very few seem to want to admit the reason any of this was allowed to happen in the first place: upper class parents who didn't want gay children. Who would rather a daughter with a dead daughter than a gay daughter. Who would rather have a dead son than a gay son.
Most of the ghouls who did this are going to ride into the sunset, relatively consequence free, even though anyone who did this to a child should be facing serious criminal charges. The enablers, though? The ones that encouraged this? The ones that claimed to 'speak for the community' when approving this? The science reporters who wrote articles praising this, without checking to see the methodological flaws? The people who walked around in PROTECT TRANS KIDS t-shirts and tried to get people who spoke up about the biggest medical scandal since the lobotomy fired and turned into pariahs? No skin off their back. They don't have to deal with a necrotic vaginoplasty that will kill them.
The children barbarically mutilated by this nonsense? By this insane cult? They'll live their shortened lives permanently mutilated, sexually lobotomized, never becoming proper adults. No one can fix what was done to them. A whole load of people stood and watched as those aforementioned ghouls committed Mengele-esque experiments, and people cheered it on because those kids didn’t conform. A whole load of people who should have known better. It was in plain fucking sight that this was a trainwreck of gargantuan proportions. It shouldn't have needed multiple government reports for people to realize that.
Biggs, M. (2022). The Dutch protocol for juvenile transsexuals: Origins and evidence. Journal of Sex & Marital Therapy, 49(4), 348-368. https://doi.org/10.1080/0092623X.2022.2121238
Brilliant piece of writing, Sue, thanks. I of course agree with your basic point about homophobia being an important driving factor in answer to the question asked in the title. But just based on my own experience, I can't agree that all those upper middle-class people who transed their kids are homophobic. Maybe some, but certainly not all or even most. I know people in this world. I know people who transed their kids or supported their friends transing their kids. In one case, the mother was completely accepting of her neurodivergent daughter being a lesbian. She was initially uncomfortable with the idea that her daughter was a son, uncomfortable with medicalizing her daughter. She did not allow her daughter to medicalize or remove her breasts when she was under 18. But once the daughter was 18, she went for it all and now the mother posts the trans flag on social media and accepts all the bullshit. Love of the child becomes the wedge that does not allow sanity to intrude. As others like Helen Joyce have said, these parents will likely never see the truth, because the truth is so horrifying. This has been progressive mindset in the US where we are so polarized, even stronger than the UK. It's in every doctor's office, in the mouths of every politician on "the right side" of issues, it's everywhere. These parents truly believed in the "trans child." It's the ubiquity of the sources of authority that allowed this tragedy. And the money to be made.
Yep. It failed the common sense test, the smell test and the gut check.
It passed social science peer review because social science research routinely relies on dogshit-quality evidence, namely, study subjects' own psych self-assessments.
They've grown accustomed to the aroma of dogshit.
If you need some good-guys, the American College of Pediatricians called BS on it from the start, and was I believe the only medical org to do a systematic review of evidence first, before ever taking an official position.