When in medicine is it “wrong” to say, “hold on, let’s take a better look at the services that we are providing to ensure that we’re doing out best for our patients!”?
This is part of the process that shows it [transgender-medicne] recognizes that the system that the transgender community had had been smaller, but a tighter-run (sub)discipline base.
They know that they’re reaching the people who need their help, but are still concerned about offering treatment(s) to those people who probably aren’t transgender, but in an odd place in their lives.
Making sure that “profit-motivated” clinics aren’t just popping up to prey on a new “market”, will be the next thing, accreditation is right around the corner. Hello “government intervention”.
This isn’t the article you thought.
I think it's important to understand what "best practices" and "standards of care" are....
These should be thought of as the guidelines for the treatment of a patient....and while there's a fair amount of flexibility (typically) if a doctor is going to go well outside the guidelines...they had better have a very good reason for doing so. This is because of the possibility of negative effects from non-standard care being used in legal cases where the patient may seek damages. Other doctors will be able to point out the ways the initial doctor deviated from standard practice and this can be used to seek monetary compensation and cause the doctor to lose the ability to practice.
This is a good way to think of "standards of care" because when it comes to the Affirmative Care model....there are inherently contradictory standards of care within the model. For example....
1. Practitioners are told repeatedly to affirm the claims of gender identity that the patient is making. It doesn't matter if the doctor is in agreement with the patient or not...affirmation is key to this model and the standards of care this model recommends reflect that. At no point should the doctor suggest or attempt to persuade the patient that perhaps they are incorrect about their gender identity.
2. Explore other possible causes for feelings of anxiety or discomfort or psychological distress that may be unrelated to gender dysphoria or puberty or gender identity. Autism for example has a high comorbidity with gender dysphoria...and should be ruled out as a cause for seeking treatment prior to any medicines or surgeries are pursued.
If you don't see the issue here....it's that doing #2 can easily conflict with #1. If you don't think that's a big deal....or perhaps you think it shouldn't be a big deal to doctors....then consider the way the standards are written above. #1 is something that the Doctor must do....every time.... regardless of what the doctor may believe is best. #2 is something of an afterthought...and while it is something that the doctor
should do, #1 is something that the doctor
must do. This is the Affirmative Care model....not the "You Might Be Wrong About Your Gender Identity So Let's Try To Figure This Out" model. Consistently throughout the standards of care....you'll see that the only thing that the doctors will actually risk legal trouble for are....
1. Failing to affirm the gender of the patient.
2. Failing to get consent of the parent for patients under 18.
That's about it. Anything else can be excused as potentially conflicting with #1 and once they have parental consent....they're basically off the hook. They can't guarantee any results because the research isn't strong enough to give any expected outcomes. There's literally nothing on the long term effects other than new research showing things like under-development of genitalia due to puberty blockers and sterilization. It's not as if all possible side effects can be disclosed to the parents....that research doesn't exist.
Even the research claiming these treatments are overwhelmingly effective and positive are quackery. They require patients to go back to the doctor who experimented on them, insist that they regret the decision, and face the reality of the doctor having no solutions or even suggestions for fixing the damage done. Newer research that involves following up over longer periods show the pool of people who regret their treatments indicate this "treatment" may be harming a far greater percentage than the tiny percentage advertised.
This is why the expert being interviewed is spending the rest of their days advocating against the current Affirmative Care model, treatments, and overall direction of the trans medical community they were at the head of, for hundreds of thousands of dollars a year (if not millions) for so long.