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10-15 years ago, discussing gender affirming care seemed unimaginable. However, I signed an executive order to end all federal programs promoting sex and gender transition at any age. I faced criticism for ending it in the military, where drug use is prohibited. People have their own ideas, but the military strictly restricts drug intake, while gender transition requires extensive drug use. Therefore, I ended it, and the military is pleased with this decision.

Medical organizations have approved gender affirming care for children, but critics argue it lacks long-term evidence and may cause harm. Concerns include parental rights, teacher involvement, and potential social contagion. The push for affirming children's gender is attributed to social media influence and activism. The debate questions the appropriateness and safety of such treatments for young individuals.

The hospital was found to be secretly performing gender affirming procedures on children as young as 11, despite claiming to have stopped. Doctors implanted drug delivery devices in kids, causing irreversible effects. A ban on gender affirming care for minors was implemented in Texas. A whistleblower exposed the hospital's lies, leading to changes in state laws. Medical professionals were criticized for providing irreversible treatments without sufficient evidence. Concerns were raised about the lack of proper protocols and the rush to medically transition minors. The whistleblower and another former clinic worker shared their experiences of medical harms and questionable practices.

The number of gender surgeries for natal females in the US increased fourfold between 2016 and 2017, with women accounting for 70% of all surgeries. The UK reported a 4,400% rise in teenage girls seeking gender treatments over the past decade. Clinicians in Canada, Sweden, Finland, and the UK noticed a shift in the demographics of those with gender dysphoria, from mostly preschool boys to mostly adolescent girls. The transgender movement has given power to young individuals, but it may create chaos and confusion for them, as they still need guidance and parental support. This could be seen as a disservice to them.

Gender affirmative care is deemed medically necessary, safe, and effective for transgender and non-binary individuals. Attacks on the LGBTQI+ community, particularly trans youth, are driven by an agenda unrelated to science and medicine. These politically and ideologically motivated assaults contradict the vast body of scientific evidence.

An investigation reveals that in New York, minors can seek gender-affirming care without parental consent, and several organizations facilitate this. The Ali Forney Center (AFC) prioritizes housing for minors in undisclosed locations, and does not contact parents. They advocate with the state and child protective services (CPS) against non-consenting parents, recognizing transphobia as abuse. The Office of Children and Family Services will investigate non-affirming parents based on anonymous complaints. Care for the Homeless works with AFC and the Institute for Family Health (IFH) to provide gender-affirming care, including surgeries, funded by Medicaid and CHIP. IFH, as a federally qualified health center, uses government funds to provide this care without parental knowledge. Some healthcare providers are concerned about potential lawsuits from individuals who later detransition. Organizations like AFC, Care for the Homeless, and IFH have received millions in federal funding. Concerns exist that a potential Trump administration could cut funding for these services, especially with Elon Musk potentially overseeing government spending.

Fifteen years ago, the Affordable Care Act (ACA) was signed into law with the goal of establishing healthcare as a right for every American. Almost 50 million people have obtained quality, affordable healthcare through the ACA, nearly halving the percentage of uninsured individuals. The Obama Presidential Center will feature stories of those who made the ACA a reality, including Jim Hauser, an auto repair shop owner who received help covering his employees. Visitors will learn how lives have been changed and hear from leaders who worked to make it happen. The ACA demonstrates that progress is possible with presidential leadership, elected representatives, and people around the country. Despite predictions of political repercussions, healthcare reform was prioritized. The ACA is considered a first step, and there is a call to continue building upon it until everyone has access to quality, affordable health coverage.

The speaker says some states, like California and Washington, may take children from parents who oppose gender-affirming care. They believe the trans issue played a significant role in the last election, particularly an ad criticizing Kamala Harris's stance. They claim Harris had little room to push back because gender-affirming care was mandated under a lawsuit settlement during her time as Attorney General. The speaker finds the issue of gender-affirming care for children, especially regarding age, to be complex. They admit the trans issue is relatively new to them, and they are still trying to understand aspects like pronouns. They recall an experience where their Hispanic chief of staff strongly advised against using the term "Latinx." They note that post-George Floyd and post-COVID, there was a push for more sensitivity in language and a rise in discussions around gender-affirming care, but the science around it seems contradictory.

Fifteen years after signing the Affordable Care Act (ACA) into law, the goal was to establish that health care in America is a right for every American. Today, almost 50,000,000 people have received quality, affordable health care through the ACA, which is one in seven Americans. The percentage of people without insurance has been nearly cut in half. This means more sick kids get medicine, more cancer patients have life-saving surgery, and more people with preexisting conditions enjoy peace of mind. The ACA happened not because of one person, but because Americans of all ages from across the country spoke up about why health care reform mattered to them—when they want health care. When the Obama Presidential Center opens on the South Side of Chicago next year, visitors will have a chance to hear from some of the people who helped make the ACA a reality and see objects that symbolized the fight for health care reform and helped convince Congress to do the right thing. They will learn about Jim Hauser, who ran an auto repair shop with nine full-time employees; thanks to the ACA, Jim got help covering those workers and proudly wore his master automobile technician pin to the State of the Union in February 2011. Jim also brought his daughter, Helen-law, a 22-year-old freelancer who also got covered under the ACA. In addition to hearing these stories, visitors will see how people’s lives have been changed forever by the work that was done, and they will hear from leaders in the administration who worked and sacrificed for four years to make it happen. An aide says that when they see people going into the Obama Presidential Center, they hope visitors come away with the sense that, against all odds, progress can be made, and that progress counts on presidential leadership, elected representatives, and people all around the country. Another staffer recalls that some told the president he’d pay a political price if health care reform was a priority, and some predicted it would cost him reelection. But the president said he didn’t run for president to put his approval rating up on a shelf and admire it; he did it to make a difference, so the choice was clear. A staffer recalls a moment in the Oval Office when the president said this is shaping up to be a one-term presidency and that’s okay if he can get done the things he wants to get done, with health care reform being one of those things. The president emphasizes that, with everything going on, the ACA is bigger than politics and protecting livelihoods when a family member gets sick is essential. The ACA is described as a starter house—a big step forward but only the first step. The plan is to keep building on and improving the ACA until everyone has access to quality, affordable health coverage. When visiting the Obama Center in 2026, the goal is for visitors to leave ready to keep making a difference, and the organizers look forward to seeing them next year.

Clinics need to gather better data and conduct research to ensure children and young people receive proper care. The lack of data on outcomes for those who have undergone medical transition is concerning. The Tavistock clinic's failure to provide meaningful data was highlighted in a court case. It is crucial to collect data to improve treatment practices and ensure all individuals receive quality care.

"The eligibility for getting gender affirming surgeries at Boston Children's Hospital is basically the same as it would be for most other hospitals or surgeons in The United States." "And that's the case because we all follow the World Professional Association for Transgender Health or WPATH standards of care." "For top surgery, you are requested, but not required to have been on gender affirming hormones for at least a year." "If you're a trans woman, it's really encouraged that you be on estrogen for at least a year because you want to maximize your natural breast growth." "Many surgical centers require you to be 18." "At Boston Children's Hospital for top surgeries, we'll see people as young as age 15 if they've been affirmed in their gender for a long period of time and don't really have any other life complications that make surgery inappropriate."

There has been a 5000% increase in adolescents suddenly expressing discomfort with their bodies, which parents report seems to appear "out of the blue." This rapid onset gender dysphoria is often found in kids with conditions like autism, depression, anxiety, trauma, or abuse, and in difficult family situations. This phenomenon tends to happen in clusters, with many kids identifying as transgender or non-binary having friends who also identify that way. This suggests an element of social contagion, where feelings, behaviors, or beliefs spread within a friend group. Some children's social lives are primarily online, where they are influenced to question their identity and assume a new one, sometimes by older individuals.

The administration ended the Biden administration's policy of allowing men into women's sports and spaces. Schools and universities will lose federal funds if they allow men to invade women's sports and spaces. The Department of Justice is coordinating with law enforcement to fight child abuse in schools. The administration considers it child abuse to change a child's gender without informing parents. Hospital systems cannot use taxpayer dollars to perform chemical castrations and sexual mutilations of children. Castration surgeries, drugs, and sterilization treatments of children are considered barbaric, harmful, and a violation of medical ethics. The Department of Health and Human Services (HHS), along with the Department of Justice, is informing medical providers and hospital systems that taxpayer dollars cannot be used for these procedures on children. HHS has eliminated science promoting sex changes and sterilization of children and is issuing new guidance advising doctors and hospitals against performing these procedures.

An endocrinologist questions the use of powerful hormones and surgeries in gender affirmative therapy without concrete evidence of gender identity. They highlight the high rates of desistance in children with gender dysphoria and the lack of objective markers to determine if a child will persist in their gender identity. The Endocrine Society acknowledges the low quality of evidence and the difficulty in identifying which children require treatment. The American Academy of Pediatrics suggests asking the children themselves. The spread of the affirmative model of care has outpaced the evidence supporting it, as shown by systematic reviews indicating poor quality and uncertain benefits. A study on mastectomy in youth is criticized for drawing conclusions based on a small sample size and short follow-up period. The quality of research in this field is questioned.

Transgender Inc., the market for sex reassignment surgeries and hormone replacement therapies, is a lucrative industry worth billions of dollars. The number of transgender individuals has doubled in the past decade, with over 1.6 million in the United States alone. However, there is a lack of long-term studies on the efficacy and consequences of these procedures and pharmaceutical products, especially for minors. The medical community, influenced by organizations like WPATH, has shifted the perception of transgenderism from a mental illness to a subjective reality that can be affirmed through surgeries and drugs. The profit-driven nature of this industry, coupled with the cultural and political push for transgender acceptance, has led to a lack of critical examination and oversight.

Transgender Inc., the market for sex reassignment surgeries and hormone replacement therapies, is a lucrative industry worth billions of dollars. The number of transgender individuals has doubled in the past decade, with over 1.6 million in the United States alone. However, there is a lack of long-term studies on the efficacy and consequences of these procedures and pharmaceutical products, especially for minors. The medical community, influenced by organizations like WPATH, has embraced transgenderism as a political and advocacy movement. The profit-driven nature of the industry, coupled with the cultural and ideological shift towards subjective reality, has led to the rapid growth of transgenderism. The involvement of pharmaceutical companies, health systems, and corporate America further perpetuates this trend.

Gender-affirming care is crucial for transgender children, saving lives rather than ruining them. However, there are individuals pushing legislation against trans inclusion and life-saving healthcare. This is just the beginning of a deliberate and organized effort to eradicate transgender people. These bills, if passed, will result in the deaths of trans individuals, including children. Shockingly, some refer to this as the "transgender question." It's important to reflect on the gravity of this situation.

Last year, leaked WPATH files revealed that clinicians privately acknowledged the potential regrets and severe adverse effects, including loss of fertility and psychological damage, associated with gender-affirming care for minors. In response, President Trump issued an executive order restricting puberty blockers, hormones, and surgeries for children, emphasizing the need to protect vulnerable youth. The order bans federal funding for gender-affirming care for minors, limits research grants, and directs new regulations from the Department of Health and Human Services. This move aligns with growing public opposition to gender ideology, as seen in recent bans in the UK and revised guidelines in Sweden and Finland. The overarching concern is the responsibility of society to safeguard children and guide them appropriately into adulthood, rather than allowing them to make irreversible medical decisions.

In the last 15 years, the number of clinics serving pediatric patients on gender issues in the United States has grown from 0 to over 100. This growth can be attributed to various factors, with the main catalyst being the implementation of Obamacare in 2010. The law mandated insurance companies to cover medically necessary gender affirming care, leading to a 50% increase in sex reassignment surgeries and a 25% increase in insurance coverage for transgender individuals between 2010 and 2016. In 2016, an amendment to the Affordable Care Act further prohibited private insurance companies from denying coverage based on gender identity. Consequently, there was a 150% increase in sex reassignment surgeries in the US from 2016 to 2017. The provision was revoked by the Trump administration but reinstated by the Biden administration.

Planned Parenthood is reportedly becoming a top provider of puberty blockers to teenagers in America after the overturning of Roe v. Wade. Almost 12,000 teenagers aged 12-17 have allegedly been treated with puberty blockers or "pro trans counseling" by Planned Parenthood, often with no prior history of gender dysphoria or medical diagnosis. Detransitioners' stories are exposing the alleged inadequacy of Planned Parenthood's counseling. One woman, Helena Kirschner, was allegedly given four times the typical starting dose of testosterone hormone replacement therapy by a nurse practitioner in under an hour. Another woman, Pat Katzen, allegedly received a testosterone prescription after a 30-minute phone call with a Planned Parenthood doctor. Given Planned Parenthood's influence on sex education curriculum and its $700 million in annual taxpayer funding, the speaker suggests the organization is running a "pyramid scheme" to indoctrinate children into believing they were "born in the wrong body" and then prescribe them medication.