Define “therapy”

The NY Times reports:

A federal judge in Georgia has temporarily blocked part of a state law that prohibits hormone replacement therapy for transgender minors. 

But is “hormone replacement” actually therapy? Or is it medical malpractice? Or something in between?

Calling it therapy puts a big thumb on the scale in this contested issue. What if it’s quackery rather than therapy? What if it’s the new thalidomide, driven by trendy but magical ideas about people “born in the wrong body”?

Judge Geraghty, who was appointed by President Biden, said in her ruling that the ban “is substantially likely to violate the Equal Protection Clause.”

But maybe the equal protection needed is protection from quack medicine sparked by wack ideas about magic gender?

The Georgia law, Senate Bill 140, prohibits doctors in the state from providing gender transition surgery and hormone therapy for the treatment of gender dysphoria in people under the age of 18.

The law does allow minors who were already receiving hormone therapy to continue their treatment, and it allows doctors to prescribe puberty blocking medications to minors.

On June 29, the families of four transgender children filed an emergency request asking the federal court in Georgia to block the law from taking effect.

The plaintiffs said the ban violated the rights of parents to make medical decisions regarding their children; they also said it violated the “guarantees of equal protection by denying transgender youth essential, and often lifesaving, medical treatment based on their sex and on their transgender status.”

The only sense in which this “treatment” can be “lifesaving” is if it prevents kids who are convinced they’re trans from committing suicide. It’s not lifesaving in a medical sense at all. The whole thing is in the head: it’s about ideas, feelings, thoughts, concepts. Sometimes medical treatments do help with broken or distressing thoughts and moods. Depression can respond to medical treatment, for instance, and that’s a good thing. The situation with “gender dysphoria” is different, and the “treatment” is drastically different. Prozac is one thing and cross-sex hormones are another.

The legal challenge to the Georgia law will move forward. During the litigation, transgender young people in the state will still be able to receive hormone therapy, but not gender transition surgery.

“It is vital that, as a family, we have agency in our own medical decisions that are in the best interest of our child — that includes gender-affirming care,” said Anna Zoe, one of the plaintiffs, in a news release after the emergency request was filed.

But maybe “gender-affirming care” is not in fact in the best interests of her child. Some people who have had it have massive regret.

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