https://www.wsj.com/articles/second-thoughts-on-gender-affirming-care-american-academy-pediatrics-doctors-review-medicine-a7173276?mod=opinion_lead_pos9
The American Academy of Pediatrics said last week that it will commission a systematic review of the evidence for pediatric sex-trait modification, known euphemistically as “gender-affirming care.” This marks a turning point in the battle over the controversial medical protocol. To those who favor evidence-based rather than eminence-based medicine, it is a step in the right direction.
But it is a small step. Two key questions: Will the systematic review follow a transparent, impartial scientific process? And what should the AAP do in the meantime?
In explaining the decision to commission a systematic review, the AAP’s CEO, Mark Del Monte, said that the academy’s board “has confidence that the existing evidence is such that the current policy is appropriate. At the same time, the board recognized that additional detail would be helpful here.”
If the AAP’s position is that it is “confident” the systematic review will vindicate its position and merely add “additional detail,” that raises suspicions about the honesty and independence of the process and shows the need for strong guardrails against AAP influence over the inquiry.
The AAP is, first and foremost, a trade union. “Professional medical association” is a less apt description than “association of medical professionals.” Teachers unions care about education but give their own and their members’ interests priority over those of students. So too the AAP has strong incentives to defend its own interests and those of member doctors—especially those who have publicly endorsed or facilitated sex-trait modification—even when that is harmful to patients.
The AAP and prominent members have consistently assured policy makers and judges that sex-trait modification is safe and effective and based on strong science. Insurance companies have based their coverage decisions on these claims. Democrats have used them to cast opponents as bigots. The Biden administration regularly cites the AAP in its efforts to guarantee minors unfettered access to hormonal drugs and life-altering surgery. Parents have accepted AAP claims and agreed to allow doctors to disrupt their children’s natural puberty, flood their bodies with synthetic hormones, and amputate their healthy breasts.