https://www.city-journal.org/article/jay-bhattacharya-nih-gender-medicine
In 2015, the National Institutes of Health launched the Sexual and Gender Minority Research Office. Its purpose: to rectify the absence of health data on this cohort by prioritizing research and improving data collection. While the new office (SGMRO) does not have grantmaking authority on its own, its wide sphere of influence shapes the nature of the grants being considered for funding and the overall spirit of research on sexual and gender minorities (SGM). Moreover, the SGMRO and its associated working group and coordinating committee function as connective tissue linking the NIH’s various institutes, centers, and offices, allowing them to spread their understanding of the health of “individuals who identify as lesbian, gay, bisexual, asexual, transgender, non-binary, Two-Spirit, queer, and/or intersex.” While many of the SGMRO’s priorities are laudable and in principle worthy of scientific inquiry, in practice they have enshrined activist assumptions about the nature of “gender identity,” “gender-affirming care,” and the causes of “health inequities” at NIH.
The catalyst for establishing the new office was a 2011 report commissioned by the NIH to survey the known research on “LGBT” health. Conducted by what is now the National Academy of Medicine, the report stated, “All aspects of the evidence base for transgender-specific health care need to be expanded.” The authors noted a need for more research on how treatment for gender dysphoria should be managed “under the new paradigm of greater diversity of gender identities” and on both the benefits and harms of sex-trait modification procedures, particularly related to hormone use.
With the benefit of hindsight, the 2011 report contains signs of things to come—for instance, recommendations to consider “intersectionality” and “minority stress” as guiding principles. But in many ways the document reads like a relic from a bygone era of scientific discourse, full of genuine humility and a desire for more scientific data on LGBT health more broadly. The report concluded that overall data on LGBT health was so sparse that a substantial research program was needed. In 2012, what is now known as the Sexual and Gender Minority Research Coordinating Committee issued a report that accepted the 2011 findings and recommendations, culminating in the founding of the SGMRO in 2015.