Even though I don't support political intervention in medicine on principle... At the moment, I don't have a good solution. The medical community is over-eager to affirm permanent patients into being, and I think it's being incredibly negligent and harmful. Doctors aren't immune from social pressure, especially when that social pressure presents them with a fat paycheck too.
There is no good solution now because we don’t know enough and probably never will.
I believe if our household had to struggle with this issue, that my wife and I would have pushed to wait.
But I know if she and I were convinced more immediate action was necessary, we’d have resented like hell a ban.
I am also under the impression that gender affirming care includes counselling which may lead to an affirmation to remain the same gender.
All of this leads me to think thoughtful standards is a better policy. Standards as mandatory waiting periods before pharmaceutical or medical intervention, and a requirement of multiple independent diagnoses come to my mind.
That's kind of the problem though - everybody is "under the impression" of how it works, and that impression is a reasonable impression... but it's also wrong.
Jarhyn is pretty insistent that there's a large amount of therapy and counseling that happens way before anyone even considers moving on to hormones or surgery. This is what all of us thing
ought to happen, because it's reasonable and rational, and it's what we assume that a well-intentioned medical professional would do. And because that's how it
used to work.
But that's now how it is actually working right now, in practice.
For instance... Planned Parenthood offers hormones in many locations. You can get an appointment same day in a lot of areas, and walk out with a prescription in hand. There's no screening, there's no evaluation.
https://www.plannedparenthood.org/p...-therapy/preparing-your-hormone-therapy-visit
PA has a listed requirement that the person be 18 years or older... but there is literally no evaluation, no determination of whether or not the person is actually experiencing gender dysphoria of a degree that needs intervention. They will send you out the door with a prescription the same day.
https://www.plannedparenthood.org/p...er-affirming-care/hormone-therapy-first-visit
In this one, which I believe is in CA, they say:
In most cases your clinician will be able to prescribe hormones the same day as your first visit. No letter from a mental health provider is required.
So the assumptions about the included counseling and mental health support before any discussion of blockers or hormones even starts is just flat out wrong.