An interview from City Journal:
Christopher Rufo: Please begin by setting the scene. What’s it like in a major children’s hospital in the United States regarding transgender interventions for children?
Physician: I think the best way to answer that question is to talk about the cultural shift that happened in 2020, because transgender ideology and Covid are inextricably linked. Normally, doctors operate by the authority of the professional societies that govern our specific practice. That worked because the individuals in those institutions were reliable, intelligent, and thoughtful. But with Covid in 2020, we started getting medical decrees without peer review or evidence—you saw this with masks, social distancing, and emergency-use authorizations. These decrees were expressed as something that everyone had to do, without justification based on sound science. The other thing was censorship. If you were to ask questions or express doubt about these medical decrees, you would be ostracized within your department, and you stood a good chance of being publicly humiliated, severely reprimanded, or fired.
That’s when transgender ideology really took off. Within these academic institutions, so-called experts in the field of transgender medicine would simply declare that puberty blockers and other interventions were the gold standard of care. The evidence to support this is completely fraudulent, but no dissent was permitted. Everyone within the medical community knew that if he questioned transgender ideology, he would suffer the same type of repercussions that had happened during Covid. The best way to describe the environment would be as an authoritarian, censorious culture that discourages any meaningful debate and encourages the demonization of anyone who asks questions.
Rufo: What are the main tenets of transgender medical theory that are enforced as the conventional wisdom? And how have those tenets changed medical practice?
Physician: One, when an individual believes he or she is of a certain sex, he or she is truly of that sex. Two, the ideal response is to affirm that individual’s preferred identity. Three, the repercussion of nonintervention is a higher likelihood of that individual committing suicide. The threat of suicide removes any of the guardrails for what we must do to affirm that individual’s identity. Puberty blockers become justified at 11 years old. Hormones become justified at 13 years old. Double mastectomy becomes justified before 18.
But in reality, when you “affirm” these individuals’ gender identity, what you are doing is affirming their hatred for themselves. You have these children who are going through confusing times, difficult times; when you affirm this belief system, what you’re really doing is telling them: “You hate yourself at this moment, and I will affirm that.” We have to ask ourselves, why do these people have such high rates of suicide? Because we’re affirming that they should hate themselves and that they should try to destroy themselves.
There's much more at the link.
It's nightmare material. If you're a parent with young children (particularly those in their early teens), you need to be aware of the pressure that the transgender lobby is exerting on your kids, and be ready, willing and able to counter it if (when?) necessary. Go read the whole article. It's worth your time.