Thread by @LeorSapir

🚨🚨🚨 IMPORTANT: @AAPPres of the American Academy of Pediatrics (@AmerAcadPeds) just responded to our op-ed in the WSJ. This is a major step forward for those working to ensure science-based pediatric medicine.

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wsj.com/articles/trans… via @WSJ

Szilagyi and the AAP now agree that "the vast majority of children" subject to "gender-affirming care" should NOT be medicalized. Indeed, according to Szilagyi, they should receive "the opposite" of hormones and surgeries. I take that to mean psychotherapy first or only.

This marks a course reversal from AAP's previous position, announced in the 2018 Pediatrics article by Rafferty et al, which explicitly called "watchful waiting" an "outdated approach" and equated it to "conversion therapy."

If the "vast majority" of these kids are not destined to transition, presumably because most will desist by adolescence, that means that medicalizing them is wrong and harmful. I thank Dr. Szilagyi for recognizing this point, and hope she can clarify it further for AAP members.

AAP's new position should also inform debate about the Biden administration's proposed Title IX rules, which will put enormous pressure on schools to facilitate "social transition," even without the involvement or consent of parents.

There is good reason to believe that social transition is iatrogenic, meaning that "affirming" a child socially with his/her preferred name and pronouns increases the chance that the cross-gender ID will persist and medical interventions will be sought.

acamh.onlinelibrary.wiley.com/doi/abs/10.111…

Schools are not being "supportive" or "inclusive" when they adopt "affirming" policies. Instead, they are potentially changing the course of psychosocial development and putting kids on track to becoming sterile, sexually dysfunctional, and lifelong wards of the medical industry.

It is crucial, therefore, that @USEducationDept, @SecCardona, @LHAMON, and @POTUS understand just what they are doing:

Creating a school-to-clinic pipeline, against the recommendation of the AAP.