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On Origins Podcast, Lauren Schwarz and Arthur Rousseau discuss their chapter in The War on Science, focusing on gender-affirming care (GAC) and medical standards. They argue that the World Professional Association for Transgender Health (WPATH) wields influence, with U.S. medical bodies deferring to it, while the UK’s Cass report and countries have begun to curtail such care. They describe WPATH’s standards of care (SOC 8) as presenting itself as evidence-based, lifesaving care, yet note published reviews finding the strength of the evidence often low or indirect, and that guidelines are not always consistent with the underlying literature. They recount that Johns Hopkins underwent political pressure to withdraw systematic reviews and that WPATH later imposed an approval mechanism over future publications. The speakers condemn the reliance on “lived experience” over rigorous evidence, and highlight concerns about age restrictions being removed and consent for minors to hormonal or surgical interventions. They cite a lack of long-term outcome data, no conclusive evidence that gender-affirming care reduces suicide, and cases illustrating the risks of messaging to afraid families. They call for better education, transparency, and a return to science-based medicine, while referencing the Tennessee minors’ care case and urging global alignment.

Michael Shellenberger discusses the World Professional Association for Transgender Health (WPATH) and the release of internal documents revealing troubling practices regarding gender dysphoria treatment. He argues that WPATH lacks evidence-based support for radical interventions like puberty blockers, cross-sex hormones, and irreversible surgeries. The documents show discussions about treating minors, including a 13-year-old with developmental delays, raising concerns about informed consent and the long-term consequences of such treatments. Shellenberger describes the situation as one of the greatest medical mistreatment scandals in history, comparable to lobotomies and the Tuskegee experiments. He emphasizes that many medical professionals involved seem to be aware of the lack of informed consent but continue their practices without questioning their validity. He criticizes the medical and psychological associations for their complicity, suggesting they prioritize ideology over patient welfare. He highlights the confusion between gender distress and broader emotional issues like anxiety and depression, arguing that many who express gender confusion may simply be experiencing identity crises. He points out that most children with gender dysphoria will likely identify as gay if left alone until adulthood. The conversation also touches on the societal implications of these practices, including the role of maternal instincts in decision-making and the potential for political and ideological manipulation. Shellenberger calls for accountability, suggesting that those who have transitioned minors should lose their licenses and face legal consequences. He notes recent shifts in public opinion, citing the UK's National Health Service's ban on puberty blockers, as a sign that awareness and resistance to these practices are growing. The discussion concludes with a call for a return to values that affirm human development and the importance of protecting children's rights to grow up without medical intervention.