A few years ago (confirmation hearings, I suspect):
[U.S. Surgeon General nominee Rachel] Levine refused to answer, choosing merely to say that “transgender medicine is a very complex and nuanced field with robust research and standards of care that have been developed.” Paul hit back that “the specific question was about minors,” and accused Levine of having “evaded the question.” Paul continued: Do you support the government intervening to override the parent’s consent to give a child puberty blockers, cross-sex hormones, and/or amputation surgery of breasts and genitalia? You have said that you’re willing to accelerate the protocols for street kids. I’m alarmed that poor kids with no parents, who are homeless and distraught, you would just go through this and allow that to happen to a minor.
Rand Paul Demands Answers on Puberty Blockers for Minors (February 2021)
That “robust research and standards of care” is essentially a incestuous echo chamber. In that echo chamber, “everybody knows” some things that aren’t true. But gradually, clarity intrudes, first in the Cass Report from Great Britain, most recently on Thursday just passed:
There were a couple of moments in the oral arguments in US vs. Skrmetti this week that were truly clarifying, I think. The first was about suicides among children and teens with gender dysphoria. They are — as the ACLU lawyer, Chase Strangio, finally conceded when questioned by Justice Alito — “thankfully and admittedly rare.”
That’s a big deal. It’s a big deal because the most common argument used by doctors and activists for child sex-changes for years is that if the kids do not transition, they will kill themselves. “Do you want a dead son or a live daughter?” is the question that has been repeatedly, routinely, posed to freaked-out parents with a dysphoric child. That’s why the Biden administration routinely refers to life-saving “gender-affirming care.” It’s transition or death. In every discussion I have ever had on this topic with someone who supports sex changes for kids, this has always been the first point raised.
…
We sometimes think of this trans controversy as a debate about civil rights and medicine. But it is useful at times to step back and truly grasp the radicalism of the ideology fueling the “LGBTQIA+” movement, to see what its vision of humanity is. We are socially constructed abstractions, not bodies. We have no core sex. The core goal of critical gender and queer theory — which is what is behind the child sex change craze — is to end the sex binary entirely as an organizing principle for our society. It is to remove nature from our understanding of what it means to be human. It is as extreme in its epistemological gnosticism as in its philosophical nihilism.
It is not about helping the few, and never has been. It’s about revolutionizing us all.
He’s not wrong. But M. Gessen seems more wrong than right:
Trans and gender-nonconforming people have existed as long as humans have used gender to organize themselves — think Joan of Arc; think Yentl; think many, many real and fictional people in-between — but in Western culture, it’s only in the last half-century that trans people have asserted ourselves as a group. It was only when we became more visible that the onslaught of new discriminatory laws began.
M. Gessen (f/k/a Masha Gessen) at the New York Times.
Two observations:
- “Trans and gender-nonconforming people” don’t belong together as a category. Lumping them together feeds the fad Andrew Sullivan calls “transing away the gay,” whereby gender-nonconforming adolescents are told “Maybe you’re a boy in a woman’s body” (or vice-versa), which isn’t a real thing.
- It’s nothing new for subterranean activity to be ignored by the law until it surfaces (“asserts itself”). Then, sometimes, the law decides it’s bad and disfavors it in various ways. There’s even a maxim for it: the law isn’t made until first it’s broken. An assertive movement based on the fantasy of women in men’s bodies and vice-versa is likely to be rejected fairly decisively.
Finally, Nellie Bowles may have the best response to the nonsense — mockery:
Chase Strangio is on the wrong side of the vibe shift: The Supreme Court this week heard arguments over whether to strike down Tennessee’s ban on medical gender transitions for minors (i.e., no puberty blockers, cross-sex hormones, or surgeries till 18). The ACLU sent their most famous lawyer and the face of the organization, Chase Strangio, to argue the case. Before things started, Chase laid out the stakes to CNN’s Jake Tapper: “These are young people who may have known since they were two years old exactly who they are, who suffered for six, seven years before they had any relief.” So: a two-year-old. When I say to my two-year-old that she’s a funny bunny, she says, “No, kitty cat.” Which to me indicates an extremely advanced and gifted conception of herself. Anyway. Surgery for her tail is next week. She has been consistent that she’s a “kitty cat” for months now. She wears kitty cat ears, a woeful stand-in for the real thing that I’m sure some excellent doctors can arrange.
Justice Ketanji Brown Jackson compared banning medical transitions for minors to bans on interracial marriage. I’m no legal scholar, but it honestly must be fun for your job to just come up with crazy analogies and throw them back at terrified lawyers. I’m just not sure I see the connection she’s making, but I also sometimes throw spaghetti at the wall when nothing’s working. It’s my “why not” business strategy. It’s the “you know what else was illegal once? Interracial marriage” approach.
The reality as it comes to me is that many kids with gender dysphoria are working through a growing awareness of attraction to their own sex. We know how tumultuous modern adolescence is, and confusion about sexuality adds yet another layer of tumult.
Given time, and denied “affirmation” that the real them is trapped in the wrong body (though not denied love and “watchful waiting” medical and psychological care), they emerge as fairly well-adjusted homosexuals. Affirmed, too many of them only later realize that they and they enablers were too hasty, and they de-transition insofar as the changes wrought are reversible.
Maybe that’s just something I picked up in my echo chamber, but I haven’t heard anyone deny the part about “watchful waiting” leading to resolution without transition — or, rather, the only denial I’ve heard is the bogus “live daughter or dead son” trope.
I suffer more from the humiliations inflicted by my country than from those inflicted on her.
Simone Weil, from a letter to Georges Bernanos.
I don’t do any of the major social media, but I have two sub-domains of the domain you’re currently reading: (a) You can read most of my reflexive stuff, especially political here. (b) I also post some things on the only social medium I frequent, because people there are quirky, pleasant and real.



