Transgender Confusions

It’s hard to think of an area of medicine more controversial today than the treatment of gender dysphoria in youth. Proponents and opponents of the new “affirming” paradigm of treatment routinely accuse each other of politicizing medicine, promoting dangerous ideologies, and abusing vulnerable children.

In the United States, civil rights discourse has come to overlay—some would say distort—these debates. In 2016, Attorney General Loretta Lynch likened North Carolina’s “bathroom bill” to the “dark days” of Jim Crow, when states “had signs above restrooms, water fountains and on public accommodations keeping people out based upon a distinction without a difference.”

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