Trump's HHS Transgender Review calls for the therapy, non -gender medical care

The government of President Donald Trump published a long review of the transgender health care on Thursday, which works for greater dependence on behavioral therapy instead of a broad gender-specific medical care of young people with gender-specific dysphoria.

The report on 409-page health and human services report Questions for the treatment of transgender youth, which were published by the World Professional Association for Transgender Health and are likely to be used to strengthen the abrupt change of the government in maintaining one Subject of the population This has become a political lightning shelf. Medical experts criticized it sharply as inaccurate.

This new report “Best Practices” is a reaction to one Executive order Trump spent days in his second term in which the federal government must not support gender -specific transitions for people under the age of 19.

“Our duty is to protect the children of our nation – not to expose them to not unproven and irreversible medical interventions,” said Dr. Jay Bhattcharya, director of the National Institute of Health, in a statement. “We have to follow the gold standard of science, not the activist.”

The report also questions the ethics of medical interventions for transgender-young people, which indicates that young people are too young to agree to life-changing treatments that could lead to future infertility.

It quotes and also gives a Report in England Last year, the medical approaches to gender dysphoria questioned when England's health services no longer prescribe such children outside of research settings.

The child and adolescent psychiatrist Dr. Scott Leibowitz, a co-author of the WPath standards for young people, said the new report “legitimizes the harmful idea that providers should approach young people with the idea that the orientation between sex and gender is preferred instead of approaching the treatment framework neutrally.”

The report contradicts the guidelines of the American Medical Association, which asks the states Gender care For minors who say that “empirical evidence has shown that trans- and non-binary gender identities are normal variations of human identity and expression”.

According to his President Dr. Susan Kressly was created without contributions from the American Academy of Pediatrics.

“This report is wrong with the current medical consensus and does not reflect the realities of pediatric care,” said Kressly. She said that the AAP was not consulted, “our guidelines and intentions behind our recommendations were cited continuously in imprecise and misleading ways.”

HHS said that his report does not deal with the treatment of adults, is not a clinical guidance and does not give political recommendations. However, it also means that the review is “for political decision -makers, clinicians, therapists, medical organizations and above all patients and their families”, and it explains that medical specialists who are involved in the transgender care have not passed their young patients.

The gender-known supply of transgender youth that are widespread in the United States includes supportive talk therapy and can not always include the puberty blocker or hormone treatment.

The Trump government's report states that “many” US youth who are more transgender or question their gender identity, have received operations or medication. In fact, such treatments as part of the population rarely remain. According to a five-year study published this year, the five-year study of the commercial insurance published this year received less than 1 out of 1,000 young people in the United States. Around 1,200 patients were gender -specific Operations According to another study in the last year.

Many US youth with gender dysphoria can decide not to continue with medication or operations. Recommendations for the medical association state that the best care includes the development of a plan with medical experts and family members, which includes psychotherapy for every young person.

“It is very frightening to see how the federal government injects politics and ideology into medical science,” said Shannon Minter, the legal director of the National Center for Lesbian Rights. Minter said the report could be looking for care for families and creates fear for medical providers.

“It is Orwellian. It should confuse and disorientate,” added Minter.

Jamie Brusehoff, a mother from New Jersey, said her 18-year-old daughter, who was assigned male at birth, identified with girls as soon as she could speak. She started using a female name and pronoun at 8 a.m. and received puberty blockers at 11 a.m. before finally starting estrog therapy.

“It thrives after every definition of the word,” said Bruesehoff, who wrote a book about the children of the parents gender -specific children. “All of this is because they had access to this support from their family and their community and access to evidence -based gender -fighted healthcare system if it was appropriate.”

Laura Hoge, a New Jersey therapist who treats young people with gender-specific dysphoria: “I saw this pain buoyancy when they receive gender-controlling care they need. This report denies this truth. It exchanges their healing against politics.”

Dr. Jack Drescher, a New York psychiatrist and psychoanalyst, who is working on questions of sexual orientation and gender identity, said that the report is one -sided and “increases the risks of treatments and at the same time minimizes the advantages of treatments”.

A Judge blocked Important parts of Trump's command, which include the refusal of research and educational scholarships for medical faculties, hospitals and other institutions that provide people 18 or disciples for gender-fighting care. Several hospitals across the country stopped looking after. The White House announced on Monday that HHS has eliminated 215 $ 477 million grants for research or education for the treatment of gender-specific treatment since its office.

Most of the states controlled by Republicans have also adopted bans or restrictions on gender -known care. A US Supreme Court The judgment is pending after judge heard arguments in December in one case about whether states can enforce such laws.

The executive order on January 28th belongs Several administrative guidelines aimed to deny this Existence of transgender people. Trump also ordered the government to identify people as Either male or female Instead of accepting a concept of gender in which humans remove a spectrum, remove Transgender service members from the military and the transgender women and girls from Sports competitions That matches your gender. This month, HHS gave instructions for the protection of whistleblower to report doctors or hospitals that offer gender -specific care. Are judges Blocking of the enforcement of several of the guidelines.

This latest HHS report, the Trump demanded during the campaign Last year, a reversal of federal politics is. The administration of the US drug abuse and the administration for mental health, which is part of HHS, found that no studies had found that interventions for behavioral health could change gender identity or sexual orientation of a person. The 2023 -update for knowledge 2015 is no longer on the agency's website.

While Health Minister Robert F. Kennedy Jr. has repeatedly undertaken to practice “radical transparency”, his department did not publish any information about who wrote the study. The administration says that the new report will go through a peer review process and only say who will be contributed to the report after “to maintain the integrity of this process”.

The report states that medical groups have based on medical treatment rather than on behavioral therapy for transgender youth based on a “failure characterization of such approaches such as” renovation “”, which has banned about half of the states for minors.

The American Academy of Child & Adolescent Psychiatry said that the evidence shows that young people, including increased thoughts of suicide, harm.