Do No Harm is a medical advocacy group that works with health care professionals, hospital administrators, patients, policymakers, and others to reverse the ideological capture of medicine and medical education.
Since 2022, DNH — which comprises members across all 50 states and in 14 countries — has focused primarily on curbing two harmful ideological currents in particular: DEI-branded racism and radical gender ideology. DNH made a major strategic play this week to help expose the latter.
The organization launched the Stop the Harm database Tuesday, revealing precisely which hospitals and medical facilities around the country are presently subjecting thousands of vulnerable children to sex-change mutilations and sterilizing chemical treatments.
Dr. Roy Eappen, an esteemed endocrinologist and senior fellow at Do No Harm who has spent over three decades treating patients, told Blaze News, "A lot of the activists in this field say things like, 'No children are getting these kinds of treatments, or there are very, very few.'"
Eappen emphasized that the data say otherwise — and now the American public can see the offenders listed and victims tallied for themselves, all in one place.
'It is crucial every parent familiarizes themselves with this database.'
DNH's national database, which provides breakdowns on a state-by-state and institutional basis, revealed that between 2019 and 2023, at least 13,994 children received sex-change medical interventions.
"This first-of-its-kind project provides patients, families, and policymakers with a resource that reveals the pervasiveness of irreversible sex-change treatments for minors in America," Dr. Stanley Goldfarb, chairman of DNH, said in a statement.
"The StopTheHarmDatabase.com that the incredible group Do No Harm put together is an incredible body of work," said Alvin Lui, president of the parental rights advocacy group Courage Is a Habit. "It is crucial every parent familiarizes themselves with this database."
DNH researchers analyzed publicly available insurance claims data "from an all-payer claims database that incorporated data from clearinghouses, data aggregators, payors, health systems, CMS, and multiple open data sources" as well as from commercial insurance, Medicaid, Medicare , and VA claims concerning confirmed sex-change-related treatments for minors ages 0 to 17.5.
They determined that a staggering 5,747 American children were subjected to sex-change mutilations over that short period.
Meanwhile, 62,682 prescriptions for sterilizing hormones and puberty blockers were written for 8,579 pediatric patients.
"That doesn't sound like a huge number, but I think it's way too many," said Dr. Eappen.
These figures are minimums as the researchers have admittedly only just scratched the surface.
'This data represents the tip of the iceberg.'
Dr. Eappen noted that the Kaiser Permanente health care consortium has, for instance, withheld its data concerning potential sex-change victims, and Lui noted that the "majority of transgender drugs and surgeries that are provided to children are still paid out of pocket."
Dr. Goldfarb noted that while "this data represents the tip of the iceberg, this is the first step in holding the medical establishment accountable for participating in, and often times promoting, predatory and unscientific medical interventions for vulnerable children."
Lui stressed that the "explosion of children getting sucked up into the cult since 2016 should frighten every parent in America."
While the trend got progressively worse in 2021 and 2022, there were potential signs of the trend tapering off in 2023.
Dr. Goldfarb told Blaze News:
In the majority of states, we saw a spike in minors undergoing sex change treatments between 2021 and 2022. For example, California saw a more than 50% increase between that time (2021-363 patients, 2022-687 patients). PA saw an ~30% increase (2021:105, 2022: 332). The numbers started to decline slightly in 2023, but that is also around the time when many states began to pass legislation banning '[gender-affirming care].' AL was the first to pass legislation in 2022 and was one of the only states to see a decline in minors undergoing sex change treatments in 2022.
Last year, however, Do No Harm observed a trend of fewer patients, "especially in states that have passed legislation banning 'GAC,'" said Goldfarb.
"Our plan with the next iteration of the database is to analyze the 2024 data to see if these states are in fact following the law, and if there is a downward trend in the states that are still allowing 'GAC,' especially now that the danger of ideology is more widely known," added the DNH chairman.
The current database makes abundantly clear that the mutilation and sterilization of America's youth is a profitable enterprise. Over $119.7 million was made during this period on child sex-change medical interventions.
When asked whether money or ideology was the driving force behind the sex-change industry's medicalization of children, who in most cases would alternatively grow out of their confusion, Dr. Eappen said, "I think it's actually a confluence of the two."
"Ideology is a big part of it. But you know, Marci Bowers, who's the chief of WPATH, which is the World Professional Association of Transgender Health, made a million dollars last year as a transgender surgeon," continued Dr. Eappen. "It can be quite a lucrative undertaking."
'You're also making children into patients for life.'
Dr. Melanie Crites-Bachert, a urologist and osteopathic surgeon with expertise in pelvic reconstruction, recently provided Blaze News with some idea of how much surgery centers can make performing various sex-change mutilations.
"A lot of these surgeries can be done in a surgery center. They are very lucrative with reimbursement," said Crites-Bachert. "If somebody were going to have an orchiectomy or castration — my former biller pulled up this information — the Medicare reimbursement is $324. To amputate a penis is $804. Now, keep in mind, therapeutically, you sometimes do need to amputate a penis if there's penile cancer or things like that, but purely amputating a penis is $804. A hysterectomy, an abdominal hysterectomy, is a little over $1,000. A vaginoplasty, which is basically reconstructing the vagina for things like trauma, is $1,161."
Crites-Bachert indicated that these figures represent Medicare reimbursements for therapeutic procedures and that a surgery center can expect 150-200% reimbursement above that from commercial insurance if a patient has commercial insurance paying these procedures.
"You're also making children into patients for life because a lot of these kids have complications from these kinds of surgery. And you're saying that they should be on their hormones basically forever," said Dr. Eappen.
According to Grand View Research, the U.S. sex reassignment hormone therapy market size was an estimated $1.6 billion in 2022 and is expected to grow at a compound annual growth rate of 4.05% until 2030.
The Free Press noted that Planned Parenthood, whose business model has long appeared to be harming vulnerable human beings, is presently the country’s leading provider of sex-change hormones for young adults.
The Insight Partners estimated that the global sex-change surgery market will grow to nearly $7 billion by 2031.
Dr. Miriam Grossman, the board-certified child and adolescent psychiatrist who authored the 2023 book "Lost in Trans Nation: A Child Psychiatrist’s Guide Out of the Madness," told Blaze News in September that surgeons and pharmaceutical reps will not be the only ones cashing in on victims of the sex-change regime.
Grossman noted that billions of dollars are "going to be made from reproductive technologies because we're producing a generation of sterilized people who are going to need egg and sperm donations. They're going to need IVF. They're going to need surrogates in order to have children."
'Medical gender reassignment does not have an impact on suicide risk.'
While there are hospitals that have far higher child sex-change billings, DNH's Stop the Harm database indicated that the 12 worst-offending children's hospitals promoting sex-change treatments for minors are as follows:
Blaze News reached out to the top offenders above for comment but received a response only from Children's Hospital Los Angeles, which noted it was "declining participation" in this report.
The continued medicalization of children is particularly egregious, not only because of the impossibility of getting informed consent from minor patients and in many cases their guardians — a troubling reality even WPATH scientists have admitted in private communications — but because of the ever-growing mountain of scientific literature indicating "gender-affirming care" is at best pseudoscience.
Gender ideologues and profit-incentivized health professionals have long told parents with confused children that they must choose between a "dead son or a live daughter" or between a "living son or a dead daughter” — the suggestion being that ruinous chemical treatments and irreversible surgeries are solutions to a gender-dysphoric child's supposed suicidality.
This claim has collapsed in recent years.
A peer-reviewed study published in January in the esteemed quarterly journal BMJ Mental Health revealed that "medical gender reassignment does not have an impact on suicide risk."
'You've sentenced a whole bunch of children to infertility and many other problems.'
"All-cause and suicide mortalities did not differ between those gender referred who had and had not proceeded to [sex-change surgeries] when psychiatric treatment history was accounted for," wrote the researchers.
The suicide argument is not the only core gender ideology claim to have recently crumbled.
Dr. Hilary Cass, an esteemed British medical doctor who previously served as president of the Royal College of Pediatrics and Child Health, was commissioned by NHS England to lead a multi-year investigation into the U.K.'s sex-change regime, particularly its youth-facing services.
Her final report came out earlier this year, revealing that where so-called gender science is concerned, "There is not a reliable evidence base upon which to make clinical decisions, or for children and their families to make informed choices."
The Cass Review had the University of York undertake a series of systematic reviews on topic, which found that most of the "research" underpinning so-called gender science is of "poor quality," demonstrating "poor study design, inadequate follow-up periods and a lack of objectivity in reporting of results."
In the case of the puberty blockers and cross-sex hormones apparently foisted on children by Boston Children's Hospital and other offending institutions, the review made clear that the uses "are unproven and benefits/harms are unknown."
"In addition to this making it difficult for clinicians to know whether these are appropriate treatments to offer, it is also challenging to provide children, young people and families with sufficient information on which to make an informed choice," said the review. "The duty of information disclosure is complicated by many 'unknown unknowns' about the long-term impacts of puberty blocker and/or masculinizing/feminizing hormone during a dynamic developmental period when gender identity may not be settled."
"I'm appalled that in North America, the Cass Review has not received more attention," Dr. Eappen told Blaze News. "[Dr. Cass] was neutral, and she basically came to the conclusion that most of this should not be done."
Dr. Eappen suggested that the North American medical establishment is keen to ignore the mounting evidence of the sex-change regime's unscientific and harmful practices in part because of its ideological capture — a problem that not only affects medical institutions but various medical professional associations such as the American Academy of Pediatrics and the Endocrine Society. It may, however, also be a matter of guilt and liability.
"When you've done things that are basically irreversible, it's very hard to say that you've done something wrong," said Dr. Eappen. "I mean, you've sentenced a whole bunch of children to infertility and many other problems. How can you say that you made a mistake?"
Dr. Eappen indicated that for each of the victims tallied above, there are also parents who bear some responsibility, and it's "very hard to say that you've done something that's harmed your children."
Chloe Cole, a senior DNH fellow and patient advocate, is among the many Americans victimized by the sex-change regime.
Cole told the Florida Boards of Medicine and Osteopathic Medicine Joint Rules/Legislative Committee in 2022, "At 13, I started taking puberty blockers and testosterone. At 15, I underwent a double mastectomy in which my breasts were removed and my nipples were grafted. And yet, at 16, after years of medically transitioning, I came to realize I severely regretted my transition."
Cole — who recently endorsed President Donald Trump "because he's committed to protecting children from these rash decisions" — said in a statement, "This new project from Do No Harm proves the lies from the medical establishment and radical politicians who argue that cases like mine are rare."
"The stats in this database represent thousands of kids who are being treated like Guinea pigs for unproven, and sometimes dangerous, medical experiments," continued Cole. "I hope politicians and parents alike use this database to see where these treatments are happening and protect their children from being rushed into irreversible, life-altering treatments."
When discussing the best ways to cripple the sex-change regime, Dr. Eappen told Blaze News that:
DNH has helped several legislatures pass laws because if the medical field doesn’t self-regulate itself properly, I think it’s the responsibility of the government to do something about it. I would prefer not to pass laws — I would prefer that doctors look at the risk-benefit ratio and see that the risks outweigh the benefits and act accordingly. But if they're not going to do that, [laws] are one way. The other is lawsuits: make it expensive for them to continue with this kind of procedure.
The Stop the Harm database might, in this regard, serve to provide a list of prospective institutional defendants as well as highlight states where children need legislative protection from the sex-change regime.
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Informed consent is both an ethical and a legal requirement for medical treatment. It can largely be traced back to the Nuremberg Code — a set of post-World War II principles concerning human experimentation that appear to be lost on a growing class of American health care professionals.
While the legal particulars vary from state to state, informed consent universally requires that health care providers educate their patients with relevant and accurate information about all risks, burdens, expected benefits, and alternatives pertaining to a given procedure or intervention.
This ethical guideline is especially true of elective medical interventions that pose significant risks, have life-changing impacts, and are irreversible, such as those that fall under the umbrella of so-called "gender-affirming care."
When it comes to sex-change procedures, supportive health care professionals and government-commissioned investigators alike have indicated that informed consent may be hard to secure, if not impossible — not only for adolescent patients and their parents but for many adult patients as well.
For insights into the problem of informed consent in the controversial field of gender medicine as well as into related issues, Blaze News recently spoke to Dr. Melanie Crites-Bachert, a urologist and osteopathic surgeon with expertise in pelvic reconstruction, as well as to Dr. Miriam Grossman, the board-certified child and adolescent psychiatrist who authored the 2023 book "Lost in Trans Nation: A Child Psychiatrist’s Guide Out of the Madness," for which Dr. Jordan Peterson penned the foreword.
While Blaze News also contacted a host of academics in medical ethics and various medical associations, such as the American Urological Association, they were not similarly forthcoming on the issue of informed consent as it pertains to "gender-affirming care."
'There is not a reliable evidence base upon which to make clinical decisions.'
Whereas medical establishments in other Western nations are waking up to the reality that the sex-change industry relies upon pseudoscience and false value propositions, mainline medical institutions and health care providers in the United States appear to be leaning harder into this exceptionally lucrative business of which the fallout, too, will likely pay dividends.
Drs. Grossman and Crites-Bachert both indicated there might ultimately be a legislative and litigable reckoning — far beyond what has alreadycome to pass — but that in the meantime, many more victims incapable of providing informed consent will be created and fashioned into lifelong patients.
Dr. Hilary Cass, an esteemed British medical doctor who previously served as president of the Royal College of Pediatrics and Child Health, was commissioned by NHS England to lead a penetrating investigation into the U.K.’s sex-change regime and its youth-facing services. Her final report came out earlier this year, painting a damning picture of "gender-affirming care."
Among the Cass Review's many conclusions was that where so-called gender science is concerned, "there is not a reliable evidence base upon which to make clinical decisions, or for children and their families to make informed choices."
The Cass Review commissioned the University of York to undertake a series of systematic reviews to "provide the best available collation of published evidence relevant to epidemiology, clinical management, models of care and outcomes."
While the field of so-called gender science is crowded with "research," the systematic reviews determined that most of it is of "poor quality," demonstrating "poor study design, inadequate follow-up periods and a lack of objectivity in reporting of results."
In the case of puberty blockers and cross-sex hormones, the review made clear that the uses "are unproven and benefits/harms are unknown."
"In addition to this making it difficult for clinicians to know whether these are appropriate treatments to offer, it is also challenging to provide children, young people and families with sufficient information on which to make an informed choice," said the review. "The duty of information disclosure is complicated by many 'unknown unknowns' about the long-term impacts of puberty blocker and/or masculinizing/feminizing hormone during a dynamic developmental period when gender identity may not be settled."
While some health care providers might accept activists' suggestion that a failure to transition minors might mean they will alternatively kill themselves, the review — as well as otherstudies — indicated there was no evidence to suggest that "gender-affirmative treatments reduce this."
The problem of informed choices and consent also came up in leaked internal communications from the World Professional Association for Transgender Health — the self-identified medical organization that wrote the go-to standards of care for "the health of transsexual, transgender, and gender nonconforming people" cited in policy statements and guidance by numerous mainstream medical associations and organizations in the United States, including the American Academy of Pediatrics.
Journalist Mia Hughes highlighted in her 242-page report, published in March by Michael Shellenberger's think tank, Environmental Progress, that WPATH-affiliated health care professionals "admit[ted] to the impossibility of getting proper informed consent for hormonal interventions from their young patients."
The WPATH criteria for surgery, which largely overlaps with its criteria for hormone treatment, indicates an adult patient must: demonstrate capacity to consent to the specific surgical intervention; understand the effect of the intervention on reproduction and have explored reproductive options; undergo an assessment for mental health and physical conditions "that could negatively impact the outcome of gender-affirming surgical intervention"; and be stable on his or her "hormonal treatment regime."
Adults and adolescents alike need only one letter of assessment recommending a sex-change medical intervention.
In the case of adults, that single letter must come from a "health care professional who has competencies in the assessment of transgender and gender diverse people." In the case of children, the letter, if required, "needs to reflect the assessment and opinion from the team that involves both medical and mental health professionals."
It appears that, in practice, these criteria may be just smoke and mirrors and that informed consent is a bridge too far.
Canadian endocrinologist Daniel Metzger is quoted in the report as indicating during a May 6, 2022, internal WPATH panel that gender doctors are "often explaining [medical treatments] to people who haven’t even had biology in high school yet" and that even adult patients are often unable to comprehend the effects of sex-change interventions.
'We're fighting against the community's desire to have less gatekeeping.'
Another WPATH member, Dianne Berg, a co-author of the child chapter of the organization's child Standards of Care 8, indicated that while adolescents are not mature enough to understand "the extent to which some of these medical interventions are impacting them," some parents also lack the requisite health literacy to understand the treatments.
"What really disturbs me is when the parents can't tell me what they need to know about a medical intervention that apparently they signed off for," said Berg.
Berg cast doubt on whether the status quo in the sex-change industry was "what we need to be doing ethically."
Jamison Green, a former WPATH president and transvestite rights activist, is quoted in the leaked communications as admitting some patients "look at an informed consent form that says, 'Your hormones are going to do this, this, and this.' They don’t take any of that in yet because they're so scared that they're not going to get what they need. They, they just go, 'Show me where to sign.'"
Green stated, "We're fighting against the community's desire to have less gatekeeping, less professional intrusion, less spending time in doctors' offices. And how do we manage that and make sure that everybody's got the right level of education to make good decisions for themselves? So this is a problem that we're facing."
Dr. Melanie Crites-Bachert is board-certified by the American Osteopathic Board of Surgery and is a fellow of both the American College of Osteopathic Surgeons and the American College of Surgeons. She recently told Blaze News, "Informed consent is severely lacking here. You're not giving patients all of the information that they need to make these types of decisions, especially minors."
Having worked as one of the top pelvic reconstruction surgeons in Portland, Oregon, and having previously bought in to a surgery center as a partner, Crites-Bachert knows what is involved in making sure that patients know their options, the risks involved, and what to expect in the wake of a major medical procedure such as an orchiectomy, urinary diversion, vaginoplasty, and other transformative procedures — surgeries she has performed on those who need them, contra those who simply want them.
'To amputate a penis is $804.'
Crites-Bachert also knows that sex-change surgeries — which she has refused to have any part in — are big moneymakers.
"A lot of these surgeries can be done in a surgery center. They are very lucrative with reimbursement," Crites-Bachert told Blaze News. "If somebody were going to have an orchiectomy or castration — my former biller pulled up this information — the Medicare reimbursement is $324. To amputate a penis is $804. Now, keep in mind, therapeutically, you sometimes do need to amputate a penis if there's penile cancer or things like that, but purely amputating a penis is $804. A hysterectomy, an abdominal hysterectomy, is a little over $1,000. A vaginoplasty, which is basically reconstructing the vagina for things like trauma, is $1,161."
The surgeon noted that these figures represent Medicare reimbursements for therapeutic procedures. Crites-Bachert indicated that a surgery center can expect 150%-200% reimbursement above that from commercial insurance if a patient has commercial insurance paying these procedures.
"So you can see how lucrative this would be doing this for transgender purposes because insurance is now covering this," said Crites-Bachert.
When pressed on whether the financial incentive has helped grease the way for patients into operating rooms, Crites-Bachert said, "I think our profession has been perverted by greed — that this is all monetarily motivated as well as an attack on our most vulnerable, meaning our children."
"I still think that adults are not given the proper informed consent," continued the surgeon. "But when you're talking about children, this is the most vulnerable of our population. They are vulnerable at that time in their life where hormones are everywhere. … They are being promised a magic injection or a magic pill: 'Oh yes, all of your problems will be solved.'"
'They do not understand the significant ramifications of this.'
Potential sex-change patients might be more reluctant to provide their consent if afforded the information Crites-Bachert shared with Blaze News:
This is taking normal, healthy, functioning tissue and, in the instance of a man, taking a normal functioning penis and completely deconstructing it; pushing it inside to make a vagina that a lot of times is shallow. You have to graft and harvest from other places if the penis is not robust enough to have enough tissue to push it inside. To invert it to have a functional vagina, you have to take a skin graft from the thigh or other areas around the groin, so you're creating scar tissue. So you're creating damaged tissue by doing this. And it's not like once you deconstruct a penis, you can just reconstruct it and it will function normally. That's not the way this works. If somebody has regret and needs to have this reversed, or if they have complications, they're looking at multiple, multiple surgeries, which, again, in and of themselves, are lucrative. So this whole process is creating patients for life.
When it comes to informed consent in "gender-affirming care," Crites-Bachert indicated that in some cases, patients "get a packet and they get literature that goes through some of the potential complications, but it's glossed over. I mean, it's a small little paragraph about, for instance, fistula formation. That's a big complication that deserves more than a paragraph — and how many of those people actually read that?"
The surgeon noted that when giving patients literature about something as relatively minor as a kidney stone surgery, she would still have some individuals "come back and say, 'Well, I didn't get that,' or 'I didn't see that.' One would like to think that patients are reading over this information, but the general population — they do not understand the significant ramifications of this, that it is not gender-affirming care but the deconstruction and destruction of normal, healthy tissue for tissue that may or may not be functional."
Crites-Bachert suggested it starts with social pressure when pressed about what is needed to prompt change and reform in American medical circles. Legislation will follow, and then litigation, which eats away at the regime's financial incentives and security.
Dr. Miriam Grossman has long hammered away at the false narratives sex-change surgeons feed their patients in exchange for consent.
Several months before the release of the Cass Review, Grossman testified to the House Energy and Commerce Subcommittee on Health, saying there was “no evidence that puberty blockers, cross-sex hormones, and gender surgeries are lifesaving or medically necessary.”
Although numerous studies have indicated as much, thereby demolishing gender ideologues' narrative around sex changes, Grossman told Blaze News that patients and their families are still being barraged with the same talking points and emotional blackmail.
"Many parents of trans-identified children are warned that if they do not sign on the dotted line and agree to medical interventions, the risk of their children ending their lives will increase dramatically," said Grossman. "That is a myth. There is no evidence of that whatsoever. It's an emotional manipulation of the parents, and it's like blackmail."
"What parent wouldn't agree to even the most extreme treatment in order to save the life of their child? Nearly every parent would do anything, especially when the professionals are strongly recommending it, and when those professionals are failing to get informed consent," said Grossman.
The psychiatrist cast doubt on whether medical professionals are explaining to patients and parents "that these procedures are highly experimental and controversial."
According to the American Medical Association's code of ethics, a physician educating a patient about a proposed or desired sex-change medical intervention must present "relevant information accurately and sensitively" and include information about the nature and purpose of the recommended interventions as well as "the burdens, risks, and expected benefits of all options, including forgoing treatment."
Today, that would mean acknowledging or at the very least referring to the findings of the Cass Review, which prompted the U.K. to effectively ban medical interventions outside research settings, as well as recent bombshell studies indicating that so-called gender-affirming care does not remedy suicidality or improve mental health in the long term.
Providing the patient with accurate and up-to-date information would likely also involve a note about the strong possibility that gender dysphoria will dissipate with time, as it apparently does with most confused minors.
Instead, Grossman suggested, "they are presenting these puberty blockers, cross-sex hormones, and sometimes surgeries as reflecting a medical consensus; that this is how we help these children and these teenagers; that this is the model of care that is internationally accepted as the standard of care."
Grossman referred to the Cass Review, noting that almost every page includes terms such as "'alarming,' 'unsafe,' 'remarkably weak evidence,' 'major gaps in our knowledge' — this group of young people deserve much better."
"Are parents in this country and in Canada being told that someone of the stature of Hilary Cass and her team — a prominent veteran pediatrician in the United Kingdom, and her team from York University — came out with this report? I think not," said Grossman. "Unless the patient and her or his parents fully understand the risks and alternatives to the proposed treatment, their consent is not 'informed' and therefore not valid."
Grossman used the example of a gallbladder surgery:
So if you are having problems with your gallbladder and the surgeon is sitting down with you and saying, "You need to sign here indicating consent to have your gallbladder removed," that surgeon is supposed to have presented alternatives to you. One alternative is do nothing. Another alternative is change your diet. Another alternative is take this medication. You have to spell that out; that's a part of getting informed consent.
While admitting she has not examined all of the informed consent forms pertaining to sex-change procedures and drugs, Grossman suggested they likely fail to underscore just how controversial the medical interventions are.
LGBT activists appear keen to intervene in those instances when informed consent forms adequately account for the risks and nature of sex-change procedures.
For instance, when Florida Gov. Ron DeSantis (R) ratified legislation last year requiring that patients and their guardians in the Sunshine State sign consent forms detailing some of the actual risks sex-change interventions entail, which health care providers might prefer to gloss over, activists backed by the Human Rights Campaign Foundation and GLBTQ Legal Advocates and Defenders sued.
According to the Florida Phoenix, the consent forms that angered the activists simply stated what the Cass Review would indicate months later:
Medical treatment of people with gender dysphoria is based on very limited, poor-quality research with only subtle improvements seen in some patients' psychological functioning in some, but not all, research studies. This practice is purely speculative, and the possible psychological benefits may not outweigh the substantial risks of medical treatments and, in many cases, the need for lifelong medical treatments.
While activists fight to erase unfortunate truths from consent forms, professional associations ignore data that disrupts gender ideologues’ preferred narrative.
The American Academy of Pediatrics was among the medical associations immune to the findings in the Cass Review. In May, Dr. Cass told the New York Times that she respected the AAP but respectfully disagreed with the group on holding on to a position that is now demonstrated to be out of date by multiple systematic reviews.
Cass suggested that it "wouldn't be too much of a problem if people were saying, 'This is clinical consensus, and we're not sure.' But what some organizations are doing is doubling down on saying the evidence is good."
When asked about Cass' remarks, Grossman noted that she very much agrees that "the American public is being misled and that the damage and destruction that comes as a result of being misled — it can’t be measured. My practice consists of seeing these kids, and their parents, and their families, their siblings, and sometimes their grandparents, and this destroys families."
'It's just a juggernaut of lies and falsehoods.'
Informed consent relies upon the provision of accurate, timely, and relevant information, which some health care professionals might ignore or gloss over for ideological or financial reasons. However, informed consent also relies upon the patient's competence.
Blaze News raised the question of whether an individual who asks for healthy sexual organs to be cut off, turned inside out, or refashioned into useless scar tissue can be characterized as competent, mentally or otherwise, and whether informed consent is possible in such circumstances.
"In my opinion, anybody that wants a healthy body part to be surgically removed has an emotional illness, in my opinion," said Grossman. "Now, getting informed consent is actually a legal process. It's not a medical process."
Grossman noted that she spent years working in a prison that housed severely mentally ill patients who had committed various crimes. During this time, she gained considerable experience evaluating people on whether they could give informed consent for various dental and medical procedures.
While someone with a "sufficiently accurate understanding" of what the medical procedure entails, along with its risks, may qualify as competent, a person who is psychotic or delusional around the issue of the procedure could be ruled incompetent.
"So if a person comes and says, 'I'm really not a woman. I'm a man. I want my breasts removed because I am a man.' Well, I think an argument could be made that those people have a delusion. I acknowledge I'm in the minority of medical professionals who would say that," said Grossman.
Until this apparent minority of vocal dissenters puts the sex-change regime in check, a great many patients for whom informed consent is impossible might be rubber-stamped for irreversible procedures.
Grossman anticipates seeing "a flood of young people who severely regret what they've done."
"This also ties in to the revenue and the billions of dollars that are going to be made from reproductive technologies because we're producing a generation of sterilized people who are going to need egg and sperm donations. They're going to need IVF. They're going to need surrogates in order to have children," said Grossman.
"People have to wake up," continued the psychiatrist. "People have to understand what this is really about. It's not about kindness. It's not about respect. It's about a social political crusade to transform our society, to eliminate male and female. Nothing could make that more clear than the Olympics — the opening performance and the theft of medals from women by men. That's what this is about."
When asked what might arrest this trend, Grossman said, "We need action on many fronts. First and foremost, people must educate themselves about the history of the trans crusade, the intimidation of doctors, the takeover of medical associations, and what parents can do to inoculate their families."
The psychiatrist indicated lawsuits will help to, at the very least, make practitioners "think twice before they pick up a scalpel and remove the healthy breasts of a 13-year-old girl."
"It could be the malpractice carriers will stop covering — if they have to pay out huge amounts, they may think twice about covering the malpractice of these surgeons," continued Grossman, indicating that legislation is also essential, especially since the prominent medical associations presently appear resistant to reform or common sense.
"It's just a juggernaut of lies and falsehoods. You can try and deny reality, but you're going to pay a price."
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