Trans

Arkansas Lawmakers Interfere in Trans Teens' Medical Choices

A blanket ban on medical procedures for minors is not a prescription for human liberty.

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Arkansas lawmakers passed a bill on Monday that would flatly prohibit medical professionals from providing any sort of gender transition treatments to minors.

H.B. 1570, also known as the Save Adolescents from Experimentation (SAFE) Act, forbids the prescribing of puberty blockers to suppress hormones, bans genital reassignment surgeries, and bars any medical treatment that would "alter or remove physical or anatomical characteristics or features for the individual's biological sex" or "instill or create physiological or anatomical characteristics that resemble a sex different from the individual's biological sex."

But if parents and medical professionals together agree on a course of treatment that they all agree is best for an underage patient, who are state lawmakers to tell them otherwise?

H.B. 1570 further forbids medical professionals from referring minors to any doctor who could provide the forbidden treatments. It also says that public funds may not be granted to any entity that provides trans treatments to minors, declares that medical transition treatment procedures are not tax-deductible forms of health care coverage (regardless of age), and prohibits the state's Medicaid program from providing coverage for these treatments for minors. Medical professionals who defy the law could lose their licenses to practice in the state.

The bill passed the state House by a vote of 70-22 earlier this month. It passed the state Senate 28-7 this week. Now it heads to the desk of Republican Gov. Asa Hutchinson.

Just as it's wrong for lawmakers to try to destroy school choice and tell parents where and how their children should be educated, it's wrong and presumptuous for elected officials to tell parents how their trans children should be medically treated.

This is no different than earlier fights between elected officials and parents over improper legal prohibitions allegedly enacted in the name of "protecting the children." For example, it was a long, long fight (and it's not actually over) to convince resistant governments that cannabis extracts could help ease potentially deadly seizures in children.

There has been a dramatic increase in recent years in the number of people self-identifying as trans, particularly among younger Americans. The increased acceptance and understanding of both gay and trans people has resulted in LGBT kids coming out at earlier ages and communicating how they feel at much younger ages than previous generations did. A number of those minors have received gender transition treatments.

Because we're talking about children whose minds and bodies are still developing, there is a fear that a certain number of children who say they are trans—or who are diagnosed as trans—will later change their minds. That fear naturally offends trans people who have been treated by some throughout their lives as though their condition isn't "real" and that they are mentally ill.

The sponsors of H.B. 1570 clearly oppose all gender reassignment medical treatments. As the bill asserts:

It is of grave concern to the General Assembly that the medical community is allowing individuals who experience distress at identifying with their biological sex to be subjects of irreversible and drastic nongenital gender reassignment surgery and irreversible, permanently sterilizing genital gender reassignment surgery, despite the lack of studies showing that the benefits of such extreme interventions outweigh the risks; and

The risks of gender transition procedures far outweigh any benefit at this stage of clinical study on these procedures.

Some medical experts disagree, however, and spoke out against the bill. Lee Beers, president of the American Academy of Pediatrics, described H.B. 1570 as "discrimination by legislation."

"This is about protecting minors," argued one of the bill's sponsors, Rep. Robin Lundstrum (R–Springdale). "Many of you, I would hazard to guess, did things under 18 that you probably shouldn't have done….Why would we ever even consider allowing a sex change for a minor?"

But who is the "we" here? It's clearly not the parents of the patient, who would otherwise consent to the procedure. Nor is it the medical professionals who deem such procedures to be in their patients' best interests. The "we" is a pack of elected officials pushing their own agenda.

Lundstrum has no idea how to medically treat a trans kid. But she sure knows how to fight a culture war. In addition to H.B. 1570, she has also co-sponsored legislation mandating that schools play the "Star-Spangled Banner" as well as a bill that seeks to make it harder for women to get abortions. Oh, and she's clearly not a fan of greater choice in politics, having sponsored a bill that would make it harder for third-party candidates to qualify for the ballot for presidential races.

Lundstrum is entitled to her own opinion about trans kids. But she has no business using government power to force her views on parents seeking to make informed medical decisions for their own families.

NEXT: Biden, CDC Warn of 'Impending Doom' if States Reopen Because Of Course They Do

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  1. Libertarians for genital mutilation!

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    2. The bill passed the state House by a vote of 70-22 earlier this month. It passed the state Senate 28-7 this week. Now it heads to the desk of Republican Gov. Asa Hutchinson………MORE DETAIL.

    3. Arkansas Lawmakers Interfere in Trans Teens’ Medical Choices
      A blanket ban on medical procedures for minors is not a prescription for human liberty……….MORE DETAIL.

    4. Rand Paul comparing trans surgery and treatment on minors to genital mutilation while he questioned that….creature…was one of his best moments ever, IMO.

      1. Exceptionally poignant when he talks about the number of willing participants/victims who do so out of cultural obligation.

    5. This was a terrible article. The regret rate for those who initially believe themselves to be T is upwards of 90%. But Shackford is calling for a permanent body change based on a high “they’ll grow out of it” rate. This is just a terrible, anti-scientific article.

      1. It’s Shackford, of course it was going to be terrible.

    6. If their 4 year old agreed to it, what’s the problem?

      1. And I’m sure his mom’s Munchausen by Proxy will be sated the moment little Billy Cyndi is castrated.

    7. If they’re your genitals, you can do what you want with them. As long as you don’t force them on someone else

      1. But it’s not their genitals it’s their children’s.

        1. You can’t touch a kid’s dick… unless you’re going to chop it off. Then it’s totes ok.

          1. What about circumcision? A piece is ok?

      2. A five-year-old can’t consent to castration and an eleven-year-old can’t consent to toxic drugs blocking his natural development, no matter how badly their psychotic mothers want to be Woke heroines.

        1. I see Trans-kids pageants on the horizon. Can you imagine what the judges will be like?

  2. How about they wait until they are adults before they do something that has permanent consequences?

    1. How much more would it cost to go out of state, perhaps Illinois or Minnesota? Surely the gender reassignment surgery is so expensive that the cost of the trip is not important.

    2. Children as young as 8 understand the concept of consent. As a liaison between the Human Rights Campaign and NAMbLA, I’ve been working with various state and federal boards to work towards a future where all children have the same legal rights as adults. Children can consent to eating ice cream for dinner, they can consent to sexual relationships with adults, and they can consent to gender confirmation surgeries that provide both an immediate and long-term benefit to the mental well-being of the individual. Who would oppose the rights of children to freedom and personal choice?

      1. SPB is very excited.

      2. “gender confirmation surgeries that provide both an immediate and long-term benefit to the mental well-being of the individual.”

        The individual referenced above, of course, being the upper class white mother (and her eunuch husband).

      3. You are f’d in the head, dude. Hope you wind up in jail where cons know how to treat pedophiles. Human beings will not mourn your passing.

        1. Parody account. Gives Openbordersliberaltarian a run for his money from time to time.

      4. If you hear Rabbi in the voice of Zoidberg as I do, you can imagine him using such language while covering up for some of his failed surgeries.

        1. I will never not read Rabbi in Zoidbergs voice. Thanks for that.

      5. Go fuck yourself Jew hater.

        Anyone who advocated such a thing in a truly Jewish community would be stoned to death.

      6. The question is not understanding the concept of consent, it is understanding what they are being asked to consent to and the consequences of it which are permanent.

    3. In Arkansas, you can’t even get a tattoo until you’re 18. That’s also the rule in conservative strongholds like California, Colorado, DC, Massachusetts, Minnesota and New York.

      Nobody seems to think that law is especially controversial. Why, precisely, is this law any more controversial?

      1. You expect Shackford to bring any facts of his own.

        He’s not paid to work, he’s paid to recycle activist press releases.

    4. Puberty blocking is not permanent.

      1. Puberty blockers are only one part of the medical transition.

        Many transgender children decide they want to take hormones that allow their bodies to develop as the gender they identify with. Doctors can prescribe estrogen or testosterone at gradually higher amounts to mimic the puberty of the female or male gender. The Endocrine Society recommends that kids start taking these hormones around age 16, but doctors will start them as early as 13 or 14.

        Most people who start these hormones stay on them for life, and doctors don’t know much about how they affect people over the long term.

        They do know that the treatment can affect whether a person can have children later in life. Depending on how far along your child is in puberty, they may choose to freeze sperm or harvest eggs before they start the hormones.

      2. But it can have permanent side effects.

  3. Niche culture war issues are best left ignored.

    1. You’re saying you’re a “niche culture war issue”?

      1. Not to judge by all the people obsessively following his every comment and doing anything but ignoring.

    2. Did you ever respond to the bet takers buddy?

    3. National bathroom policy must be fixed before 5pm Friday, otherwise we’re literally killing trans people.

  4. These are the “call me what I demand or else!” people?

    Fuck them in whatever mutilated monstrosity they have between their legs.

    1. Nah, just in the ear, flip ’em over, and in the other ear. Fucking them in whatever’s left between their legs would risk getting your penis into some kind of knot.

  5. High risks of suicide, mutilating your body or pumping in drugs that forever changes biological function before a child has matured . Sounds like child abuse. Just because a kid wants something does not make it the right thigh to do.

    1. Cool it with the anti-Semitism, buddy!

  6. Libertarians love states rights until they are exercised. Arkansas can’t take measures to determine if these surgeries are warranted for teens, Texas can’t control its border or determine if capital punishment is necessary. Abortion must be allowed in all states, lockdowns for covid are needed. Cmon man.

    1. States’ rights are subservient to individual rights, and the state’s opinion on whether these procedures are warranted is similarly subservient to the opinions of the teen, the parents, and their doctor(s)

      1. And if the child felt that they should have their leg/arm removed?

        Should we permit that too?

    2. I think the international border pretty squarely falls under the fed.gov purview.

      1. Yeah Trump thought that too. But all the sanctuary jurisdictions told him he was wrong.

  7. I wonder, did Reason even bother mentioning all the leftist states banned consenting adults from receiving non-surgical, non-chemical gay conversion therapy?

    1. If a medical association determines that “conversion” therapy is both unethical and medically harmful, they are fully within their rights to expel doctors who want to torture and mentally harm those in the LGBTQIA+ community!

    2. I’ve pointed that out repeatedly. Everyone looks at their shoelaces and changes the subject. And that ban was for adults. I would grant a gay conversion therapy ban for minors. But never for adults, just as I would never consider gender transition ban for adults.

    3. Again, does anyone really expect an honest discussion from Shackford?

      He’s a tool.

  8. How is this different from female genital mutilation? What if a doctor and parent agree this is best for the future of a young girl?

    Texas and California both strictly ban tattooing minors. Interestingly, Arkansas allows parental consent.

  9. That fear naturally offends trans people who have been treated by some throughout their lives as though their condition isn’t “real” and that they are mentally ill.

    THEY ARE.

    1. Wonder if Scottie boy knows what ableism is and believes we should let teens cut off body parts to make them feel more like themselves…

      https://nypost.com/2015/09/06/this-strange-condition-makes-people-want-to-hack-off-a-healthy-limb/

      I mean, if they all agree to it right?

      1. He can’t eat a bag of dicks unless someone provides the dicks.

  10. The left has strange ideas about minors and consent. They don’t want minors to work or have any freedom outside of the authority of teacher’s unions. They don’t want them to smoke or drink. But at the same time they want us assume that their choices on sexual issues can be trusted as coming from a place of total independence.

    Imagine a person with no freedom whatsoever, except in the realm of sexuality. What does that sound like to you? It sounds horrifyingly depraved to me.

    1. It sounds horrifyingly depraved to me.

      Yeah, I don’t agree with castrating slaves, but I can at least fathom the logic. Castrating children is even more depraved than that.

  11. Can that teen legally drink? Can that teen legally smoke? Can that teen legally get a tattoo? Can that teen legally use heroin? No? Then no genital mutilation seems like a small imposition on liberty, and of a peace with what society already allows.

    1. Why do you think that the military recruits teenagers? They are easy to manipulate.

  12. But if parents and medical professionals together agree on a course of treatment that they all agree is best for an underage patient, who are state lawmakers to tell them otherwise?

    55th trimester abortions FTW!

    1. Exactly. If I ever need to murder someone, I will cop a plea to a reduced charge of practicing medicine without a license by calling it a post-birth abortion. Clearly I will see the victim as nothing more than a clump of cells.

      1. “Joseph Mengela was a visionary.” – Scott Shackford

    2. Jimmy wants the abortion. He is a dead kid stuck in a living kids body.

      1. Jimmy wants the abortion to eliminate his carbon footprint. Is there a defense of transgender mutilation that isn’t also a defense of religious human sacrifice?

  13. That fear naturally offends trans people who have been treated by some throughout their lives as though their condition isn’t “real” and that they are mentally ill.

    Isn’t mental illness not supposed to be a stigma anymore? I’m all for people doing what they need to do to be comfortable with themselves and their bodies. But I don’t see how the persistent feeling or belief that your body is wrong can be anything other than a mental illness/disorder. If modifying your body is the best way to deal with it, then so be it. But I tend to doubt that is true in most cases. No matter how accepting and kind people are, you are still in the “wrong” body, even if it has been cosmetically modified.

    1. If modifying your body is the best way to deal with it, then so be it.

      Slight disagreement. On the public dime, you can get the fuck over it for free. Otherwise, if you don’t give a shit about the financier’s consent, why bother with the parent or child’s consent as long as it serves the greater good?

    2. Allowing mentally ill people to destroy themselves, in pursuing this delusion, is nothing but cruelty.
      Chemical and surgical mutilation of gender dysphoric humans is along the same lines as giving an anorexic, who still believes their skin-and-bones body is fat, diet pills and gastric bypass surgery.
      When did a segment of society decide on such a cruel way to deal with mental illness?

    3. Considering the only way they can get reassignment surgery here in the US is after undergoing an extensive course of psychiatric care I would say you are not the only person who recognized that it is a mental disorder.

  14. If they are not mentally mature enough to temporarily use their sex organs, they are not mature enough to permanently alter those organs. How bout some consistency.

    1. SS is also skipping over the fact that groups and organizations are pushing to allow children to undergo these procedures and transitions without the consent or knowledge of their parents. This seems more like a block on that than anything else.

      1. See dad in jail in Canada.

    2. Age of consent should be consistent. Doesn’t matter if you are putting your genitals together with someone else’s genitals, or putting them in the trash.

  15. “But she has no business using government power to force her views on parents seeking to make informed medical decisions for their own families.”

    Unlike the enlightened government officials insisting the “therapies” be performed AGAINST parental consent?

  16. Well, if children are allowed to sterilize themselves (or, let’s be honest here, their crazy parents and activist “doctors” are allowed to sterilize them) before they’re old enough to have children, the problem will eventually sort itself out. Think of it as Darwin in action.

    1. Unfortunately, they would be allowed and probably encouraged to adopt children.

  17. Imagine watching the Zimbardo Prison Experiments and thinking “Meh, they volunteered.”

    1. Their parents volunteered them…

  18. Gender dystopia is a recognized medical condition that causes depression, self-harm, and even suicide. There are also accepted treatments that have shown to work, most of which are banned under this law. It is ethically wrong for a legislature to outlaw medical treatments that are shown to work for accepted illnesses.

    1. First, it’s called “Gender dysphoria”. But ironically, what our culture is entering is in fact, Gender dystopia.

      Second, the trans activists are confused and divided on this issue. “Hey man, it’s a choice!” and “Hey man, I was born this way” and “Hey man, if you don’t treat my malady on the public dime, you’re denying me needed medical treatment! I HAVE A CONDITION!”

      I would strongly recommend Douglas Murray’s book, The Madness of Crowds and in particular, the chapter “Trans”.

      He digs into this cultural phenomenon with remarkable clarity and compassion. In particular, his section on the young Dutch man who transitioned was particularly sad. You come away not having animosity towards trans issues, but a strong sense of empathy about them. But at the same time, a very powerful distrust of the massive push to transition young people, and in some cases, without the consent of their parents.

      Here is an excerpt from that book.

      1. Moreover, his “have shown to work” claims are intentionally deceptive to conceal the lowest of low bars. Imagine a COVID vaccine that, some studies showed, was 2.5X as likely to cause you to die of COVID but, assuming you survived, granted immunity (to a disease that doesn’t kill 90+% of the people who contract it). Along similar lines, lobotomies and electroshock therapy “have shown to work” too. Of course, you have no way of knowing who definitively needs a lobotomy and who doesn’t a priori but, you know, some fractional portion of the time and for completely whimsical post hoc justifications, it does work. It has nothing to do with science or medicine and is predicated on the progressive religious edict that doing something is always better than doing nothing. Even if doing something is morally and scientifically repugnant by just about every moral standard.

        1. Easy on “shown to work”. Somewhere around 100% of the arguments for medical marijuana are predicated on that.

          1. Are there a lot of pre-teens being denied medical marijuana prescriptions?

            1. And committing suicide when they don’t get them or committing suicide whether they get them or not?

      2. It should be remembered that part of the impetus for gay marriage was greater acceptance and a lessening of homophobia and the self-harm that was supposedly induced by it. To date, there are no studies showing any decrease in the disparate amount of self-harm in response to greater tolerance/acceptance. One might conjecture that we haven’t treated any individual or social disorder and, instead, just incentivized victimhood. That some people seeking cures don’t want to get better, they just want more attention.

  19. Some parents of Trans kids tell kids they are Trans – for attention.

    The children need protection from their parents.

    Parents harming children is not unknown. Better safe than sorry.

  20. The author does not present an argument as to why the state should agree to allow transgender surgery. He just makes comparisons with other issues such as school choice and the availability of cannabis for medical reasons. The argument for transgender surgery must rise or fall on its own merits. The state should not give its citizens what they want in any situation without good reasons.

    What are the good reasons why it should legislate for transgender surgery? People who want this surgery for themselves or their children or their patients do not have logical arguments to present.

    By their own admission they argue that you are the gender that you ‘feel’ you are. Whether or not such a ‘feeling’ actually exists is debatable. Taken on face value there seems no argument for transgender surgery since your gender is not determined by the body you have but the ‘feeling’ you have. If that is all you need then why should the state agree to be a party to help you change your body?

    If you think you need to change your body in order to change your gender then your argument on the basis of ‘feeling’ is illogical and the state needs logical reasons for changing legislation.

  21. I applaud this bill. It makes perfect sense. Doctors or parents should not be allowed to make irreversible changes to a child’s anatomy. The person should make that decision – WHEN THEY ARE AN ADULT! There are a multitude of horror stories of people ‘transitioning’ at an early age only to discover – after its too late – that they made the wrong choice. There is way, way too much ‘progressive’ sexual propaganda out there trying to convince children they are transsexual because it fits neatly in someone else’s political agenda. For a lot of these kids, it wasn’t too long ago they were deciding between astronaut and cowboy for their career of choice. For young boys, girls go from icky to tolerable to pretty darn cool. We don’t need to further muddy the waters by throwing in – Now, do ya want to be one? We don’t let kids buy cigarettes, drive a car, vote, or get a tattoo but the author thinks its okay for them to mutilate their genitalia for what may turn out to be a passing fancy.

  22. If you consider an action to be child abuse regardless of the child’s seeking it or the parents’ wishes, why would you have it as legal? I’m just bothered that they wouldn’t have an exception for cases of intersex or ambiguous sex, in that the condition is abnormal whether you do something or nothing, and that medicine and surgery can help choose among suboptimal outcomes. Or did they have such an exception?

    I don’t care if there are parents and minors swept along with this cultural foolishness and doctors willing to cater to their desires. There are just some things that society can recognize as wrongs that for some reason a few would contravene, and prevent them. I hope that “deaf culture” fad has passed, and that children would not be denied correction for inborn deafness because their parents prefer a deaf child.

  23. Look… We get it. Matters of medical care should stay between doctor and patient (or parent, if the patient is a minor) and the government, fed or state, should stay out of it. Okay. We agree. We can draw that conclusion off any headline at Reason.

    The more important question here is whether or not it is medically ethical or even the proper medical treatment to prescribe puberty blockers or perform extremely invasive procedures on minors who claim to be of the opposite sex. Minors! These are not painless procedures and often times they are framed as such. In most cases these children and parents have no idea what is in store for them. More scrutiny should be given to the so called “experts” like Lee Beers who support or practice affirmative therapy and invasive sex transition surgeries. These are not widely agreed upon methods to say the least. Young girls can walk out of Planned Parenthood with T treatments without consent from parent or physician in some states, for goodness sake.

    Furthermore, our children are exposed to radical gender theory at an early and emotionally confusing age. “Increased acceptance and understanding of both gay and trans people” perhaps is one reason for the increased number of children “coming out”, but that reason is dubious on its own and insignificant when taking into account the hyper-sexualized and genderized environment our children now grow up in.

    We are confusing our children by telling them they “could” be trans. Where is the scrutiny of this ideology creeping into public and even the most posh private schools? Online? Social media? TV? Someone’s daughter could google “Am a trans?” and five minutes later believe she is with a list of 50 trivial reasons why. Our children’s lives and well being are at stake here. They’re the future. Can you blame states for getting involved? I think most Arkansans would rather their tax dollars be used elsewhere.

    I realize it wasn’t the focus of the article, but perhaps a more robust conversation around the issue can be had at Reason. Ultimately, an individual should be able to transition if they so desire. It might be best if that individual develops a fully functioning pre-frontal cortex first.

    1. You say that the state should stay out of the issue of medical care and this is a reasonable principle but it has to logically determine if transgender surgery constitutes medical care.

      Perhaps it has nothing to do with medicine since the avowed claim of transgender people is that they feel they are in the wrong body. It is not an opinion based on medical evidence or facts but based on the subjective feelings of the child or parent or doctor. A feeling is not an opinion and cannot be the basis of an argument for a course of action much less state legislation.

      1. Point taken. I agree!

  24. But if parents and medical professionals together agree on a course of treatment that they all agree is best for an underage patient, who are state lawmakers to tell them otherwise?

    Somebody has to be the adult in the room.

    Seriously, this right after the “Republicans are suppressing votes” article… what the fuck are you guys smoking at reason HQ? Because I want some.

  25. There has been a dramatic increase in recent years in the number of people self-identifying as trans, particularly among younger Americans. The increased acceptance and understanding of both gay and trans people has resulted in LGBT kids coming out at earlier ages and communicating how they feel at much younger ages than previous generations did. A number of those minors have received gender transition treatments.

    That’s what a successful propaganda campaign looks like. Young people believe a lot of stupid shit.

  26. Just as it’s wrong for lawmakers to try to destroy school choice and tell parents where and how their children should be educated, it’s wrong and presumptuous for elected officials to tell parents how their trans children should be medically treated.

    This is no different than earlier fights between elected officials and parents over improper legal prohibitions allegedly enacted in the name of “protecting the children.” For example, it was a long, long fight (and it’s not actually over) to convince resistant governments that cannabis extracts could help ease potentially deadly seizures in children.

    Jesus Christ Shackford. This is a new low even for you. Unnecessary surgery is not even in the same fucking BALLPARK as the potential therapeutic uses of cannabis. This take is so mendacious I am in the unfortunate position of having to advocate for the state to stop “medical professionals” from mangling kid’s privates.

    If individuals, as adults, want to indulge in this nonsense, that’s one thing. This is not something anyone with a moral compass should advocate for children.

  27. Somebody has to protect minors from their wacko parents who go along with their kids “feelings” and the docs that do the “treatments” for those “feelings.”

    1. “Three thousand years of beautiful tradition, from Moses to Sandy Koufax, you’re goddamn right I”m going along with my fucking feelings!”

      1. “Because Jews have circumcisions happen, it’s okay to castrate a kid”

        Fuck you, mtrueman/Jeff.

        1. You prefer these kids to castrate themselves? Not gonna happen.

  28. Obviously Rachel Levine didn’t transition young enough.

  29. Perhaps the urge to switch sexes is not as freakish as many assume it to be. There are fish, amphibians, reptiles, insects and even birds that can switch sex seemingly picking up on various environmental cues. Mammals, apparently not, but the lack of ability doesn’t mean the urge to switch isn’t strong enough to compel some people to go the surgical route.

    1. Maybe those species can change sex but we don’t know why they do – they haven’t told us. We do know why humans want to change sex because they have told us. They ‘feel’ like they are in the ‘wrong’ body.

      Maybe the urge to switch is not a desire to be the other sex but a desire to stop being the sex they were born. Some males feel under so much pressure to conform to stereotypical male behaviour that they see transgenderism as an escape. The same with some women.

      The problem is not the gender they were born with but their psychological attitudes to that gender. They need to re-assess their thoughts and feelings about that gender otherwise they will likely have the same insecurities about gender role conformity even if they change sex.

      1. “They need to re-assess their thoughts and feelings about that gender ”

        They’ve probably done that already. The idea of going under the surgeon’s knife is horrifying to most people and is seen as a last resort. It’s hard to imagine submitting to surgery without first considering cheaper, less painful options.

        1. Lots of people have cosmetic surgery in the hope that it will make them feel better about themselves. Such is their negative view of themselves that the pain of surgery is preferable. There is rarely any good reason why it should make them feel better.

          Transgender surgery is much more radical and permanent and someone who undertakes it would need very strong convincing that it will make them feel better.

          Since they already feel male or female(whichever they identify as)there is no need to have surgery to feel better. It makes no sense. You cannot feel more or less male or female. You feel one or the other.

    2. It’s been over 325 million years since mammalian synapsids split off from the rest of the vertebrates and created their own unique chromosome based sex determination system. To put that in perspective that’s 100 million years before the first dinosaurs evolved.

      The fish, amphibians, reptiles, insects and even birds that change sex, do not have the mammalian XY sex determination system.

      It would be absolutely ridiculous to pretend that some sort of genetic pre-carboniferous memory was at play.

      1. I never said genes were at play. I’m only pointing out the urge to change sex is not as freakish as many make it out to be. Humans do all sorts of things to their bodies, changing their skin color by sitting under heat lamps, or having surgery to create a fold in their upper eye lids, for example.

    3. There are fish, amphibians, reptiles, insects and even birds that can switch sex seemingly picking up on various environmental cues.

      This is incorrect. First, there are no birds that switch sex. There are birds that, due to disease, develop some male *secondary* sex characteristics. There are no female birds that produce sperm nor male birds that lay eggs.

      Second, the ‘switch’ you assert as being prevalent (or not freakish) is actually rare (freakish), confined to certain species and isn’t common within those species. The phenomenon is noted in those species specifically because it is rare. Nobody notes gender switching among slugs and roundworms.

      Third plenty of the environmental “cues” are known and are toxic/harmful/disasterous, the animal can’t pick up on the “cue” as it is being induced exogenously, frequently without intent. It’s like saying someone having a piano dropped on them picked up the cue that they should die. Whether they had the urge to die or not, the piano doesn’t care.

      1. “There are no female birds that produce sperm nor male birds that lay eggs. ”

        I think most trans people would be happy to forego laying eggs and stick with the secondary stuff.

        “The phenomenon is noted in those species specifically because it is rare. ”

        Rare and freakish are two different words with two different meanings. Rare means uncommon. Freakish is an abomination of nature.

        “frequently without intent.”

        Science has yet to discover the intent of a slug or coral.

  30. This is an evil, psychotic, garbage article and Scott Shackford’s advocacy for poisoning children to inhibit their natural development and mutilating their genitals, is absolutely sickening.

    Fuck you, Scott!

  31. What?

    it’s wrong and presumptuous for elected officials to tell parents how their trans children should be medically treated

    I don’t know what ‘trans children’ are, they must not have been around it my day, or . . . maybe there is no such thing, as trans children? Does anybody else consider this a hoax, a fraud?

    And if that is the case, then the State does no have the ‘right’ to protect a citizen, but the duty to protect its’ citizen from the malfeasance of others.

    1. If your child decides he hates his arm and wants it cut off it is cruel for a parent to stand in his way. Only the child knows how he truly feels.

      1. If the arm is gangrenous, so patient AND parents AND medics think it should come off, a bill like this one over riding their wishes in favour of the legislators’ prejudices prohibiting amputations would not be a good thing.

        The patient is too young to consent – but not too young to say NO.
        Parents do not all make the right choices – but that’s a universal in medicine, and is why medical assent, not jyst by a single practitioner, but by a second opinion from a qualified expert in the area is needed.

        And even then, all treatments are reversible until age 16. About 1.5% are discontinued before then, so the accuracy of positive diagnosis is pretty high. The problem is with a false negative, so the kid kills themselves. Yet primum non nicere, first do no harm, a false positive would likely cause some harm, even if reversible.

        See
        The treatment of adolescent transsexuals: changing insights. Cohen-Ketternis et al, J Sex Med. 2008 Aug;5(8):1892-7.

        Professionals who take responsibility for these youth and are willing to help should yet be fully aware of the impact of their interventions. In this article, the pros and cons of the various approaches to youngsters with GID are presented, hopefully inciting a sound scientific discussion of the issue.

        The statements embedded in the bill justifying it, that these issues have never been studied indicates either deliberate mendacity or complete ignorance, Dunning Krueger on steroids (so to speak)

  32. What’s the number of medical interventions perpetrated by the state to prevent children from transitioning relative to the number of non-medical interventions perpetrated by the state to prevent kids from being subjected to parents who let them wrestle with a can of beans?

  33. Starting to think that Reason has had it’s genitals mutilated.

    1. A weak spot for actual libertarianism has always been minors and the mentally incapacitated.

      So of course the leftitarians here are going to shit the bed.

  34. Can’t smoke a cigarette until you are 21, but it’s cool for kids to cut their balls off? No thanks. Any parent or doctor who takes part in this should be prosecuted.

    1. Yet Teens can Fight in Wars

      1. At 18 they can make medical decisions also. So what is your point?

  35. adolesence is a very tough time..puberty, trying to fit in, dealing with in many cases parents divorce and your own sexuality as hormones rage is a perfect situation for youngsters to be influenced. Their brains are not fully functioning and esp for a kid who doesn’t “fit” in they star to ask themselves why. Someone pushing them that they are “trans” might seem like the answer to them. And many moms want attention…like that TV show where it was apparent the Mom was so happy with her son becoming a daughter..she could virtue signal to all her friends.

    And physically changing sex should be prevented until the person is 21 and an adult. Anything else is child abuse…JC..what Reason has become..a shit show.

  36. Articles like these are why I have zero respect for the Reason libertarians other than Robby. Hardline stance on children transitioning yet the most timid and apologia filled stance against lockdowns a year ago. Have some courage you losers.

  37. This article assumes that all parents know what is best for their children. It also doesn’t reveal the fact that a majority of doctors will not give the drugs or do the surgery on a minor to transition them. If a child wants to act and dress like the opposite sex and claim they already feel that way what is the necessity of drugs and surgery to make them feel that way? Let them act as they feel and when becoming an adult make the decision how they want to live. There are many things adults should not allow children to make decisions about and this would certainly seem to fit in that category.

  38. So much ignorance.
    It’s not what you don’t know, it’s what you “know” that isn’t so.

    Here is what Transition entails for minors, according to the medical standards of care.

    1. Psychological assessment, with second opinion from a qualified expert, up until Tanner stage II – the beginning of puberty.
    This would be prohibited by this bill. Such an assessment could lead to a recommendation that transition be permitted.

    2. At Tanner stage II, a further assessment by an endocrinologist, as well as more psychological assessment. Most timee, further treatment won’t be permitted.
    Only if endo, AND psychs, AND parents AND patient all agree that the inevitable pubertal development should be delayed for a while, would puberty delaying medication be authorised.

    3. At age of medical consent, when the minor can be assumed to be capable of giving informed consent, usually at age 16, then.. Only if endo, AND both psychs, AND parents AND patient all agree, cross sexed hormones may be authorised. Here, they usually are unless there is an endocrine issue, the patient has had at least 5 years and usually over 10 of psychological assessment and consistent expression that yes, this is what they need.

    4. At age 18 and beyond… if they want genital reconstruction, and many do not, then after yet another de novo assessment by at least 2 psychologists, at least one an expert, then surgery may be authorised.

    This is the course of treatment that has gradually become standardised since the 90s. It reduced suicidal ideation by 40%, and greatly imoroved mental health across the board.

    As the result of the evidence, the many studies and follow ups, this is from the 2001 edition of the medical standards of care.
    ” Sex Reassignment is Effective and Medically Indicated in Severe GID. In persons diagnosed with transsexualism or profound GID, sex reassignment surgery, along with hormone therapy and real-life experience, is a treatment that has proven to be effective. Such a therapeuticregimen, when prescribed or recommended by qualified practitioners, is medically indicated and medically necessary. Sex reassignment is not “experimental,” “investigational,” “elective,” “cosmetic,” or optional in any meaningful sense. It constitutes very effective and appropriate treatment for transsexualism or profound GID.”

    This protocol is supported by every major medical entity, including the American Academy of Pediatrics, the American Medical Association, the World Professional Association for Trabsgender Health, and the Endocrine Society. Because it works. It has worked for over 20 years.

    The idea that Frankenstein type doctors are mutilating 5 year olds is, well, psychotic, frankly. If that were the case, the US medical profession would have far bigger problems than dealing with Trans kids. So would the legislature.

    A bill that implemented this protocol, no cross sex hormones before age 16, no genital reconstruction before age 18, would be quite reasonable. But this bill doesn’t do that, it prohibits even psychological assessment.

    The hypocrisy is shown by the cut outs and definitions. It’s fine to do genital reconstruction on Intersex infants, assigning them an arbitrary sex long before they can even talk. After all, that’s only a disaster 1 time in 3…. but of course remedying such a mistake is now prohibited before age 19.

    These “dangerous experimental” puberty blockers are somehow perfectly safe for on label use in cases of precocious puberty on children as young as 5. As they have been for over 30 years. And off label use to increase the height of short children.

    Breast reduction surgery on teenage boys with gynecamastea? Perfectly permissible at age 14, even recommended.

    It’s only Trans kids who are excluded. So the death rate will rise to the levels of 40 years ago, that’s inevitable. Most of the rest will require lifelong psychiatric treatment because of the trauma they suffer. Anxiety, Depression, utter misery.

    I hope I’m wrong in suspecting that that’s the whole idea. Only a handful of Arkansas legislators have openly expressed the wish that all Trans and Gay kids would just kill themselves.

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