Published February 28, 2025
There is still no good evidence for medically transitioning children.
This has been proven yet again by the latest critiques directed at the Cass Report, the United Kingdom’s thorough review of the subject. The British government responded to its findings by restricting medical transition for kids, and the report has also been widely cited in the United States as states move to ban childhood transition.
The Cass Report is therefore an existential threat to transgender ideology and the multi-billion-dollar industry that has developed around it. And so trans activists and their allies are desperate to discredit Dr. Cass’ conclusions. But their very tactics show that they cannot. After all, the obvious way to debunk the Cass Report’s central claim—that there is no good evidence for transitioning kids—is to present good evidence for transitioning kids. The activists and gender clinicians do not do this, because there is no such evidence. Rigorous studies showing that transitioning kids is great for them do not exist. Indeed, one prominent provider of pediatric “gender-affirming care” recently admitted to suppressing her own data because it does not vindicate her work.
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Nathanael Blake, Ph.D. is a Fellow in the Life and Family Initiative at the Ethics and Public Policy Center. His research interests include American political theory, Christian political thought, and the intersection of natural law and philosophical hermeneutics. His published scholarship has included work on Jean-Jacques Rousseau, Hans-Georg Gadamer, Alasdair MacIntyre, Russell Kirk and J.R.R. Tolkien.