Skip to content
Search

Latest Stories

Top Stories

Disinformation underlies bans on care for transgender adolescents

Close-up of hands holdering vials of medicine

A Mississippi transgender teen holds a supply of testosterone medication.

Rory Doyle for The Washington Post via Getty Images)

Sheridan is a member of the board of Lawyers Defending American Democracy. He previously served as president of the Rhode Island Bar Association.

In the past three years, 23 states have passed legislation that prohibits physicians and other health care providers from providing gender affirming health care to transgender minors. These laws constitute an extreme, unprecedented attack on transgender adolescents, their families and the medical providers who care for them.


Criminalizing accepted medical treatments irresponsibly interferes with the patient-physician relationship and will eliminate the rights of parents to support their transgender children. Worse, prohibiting necessary health care for transgender teens will result in needless suffering and, possibly, suicide. Finally, the National Institutes of Health has noted that these laws are premised on false, unfounded medical claims and assumptions that have been vigorously opposed by virtually every major medical organization in the country, including the American Medical Association, the American Academy of Pediatrics and the American Psychiatric Association.

These cruel laws are grounded in disinformation and bias. They are built on falsehoods that ignore research and facts, and only bring harm to an already vulnerable community.

Gender dysphoria is not, as some legislators contend, a contemporary fad and should not be casually dismissed. Rather, it is a clinical condition marked by distress caused by a discrepancy between a person’s gender identity and that person’s gender assigned at birth, or the gender society perceives them to be. This incongruence can lead to clinically significant distress and impair functioning in many aspects of a person’s life. If not properly treated, gender dysphoria can result in debilitating depression, anxiety, eating disorders, substance use, self-harm and suicide.

Sign up for The Fulcrum newsletter

The widely accepted view of the medical community is that gender-affirming care is the appropriate treatment for adolescents experiencing gender dysphoria. Gender-affirming care is care that supports a child or adolescent as they explore their gender identity — in contrast with efforts to change the individual’s gender identity to match their sex assigned at birth. There are multiple, well-established, evidence based clinical protocols for the treatment of gender dysphoria.

Gender-affirming medical interventions for adolescents, including, for example, puberty blockers, are only recommended if numerous, specific clinical conditions are documented. Puberty blockers delay irreversible pubertal development until adolescents are old enough and have had sufficient time to make more informed decisions about whether to pursue further treatments. Contrary to the “legislative findings” in many of these state laws, puberty blockers are not “unproven,” “harmful” or “experimental.” Puberty blockers have been prescribed by pediatricians and endocrinologists for over 30 years to treat precocious or early onset of puberty. The efficacy, safety and side-effect profile of puberty blockers are well established. They are also, despite claims to the contrary, “fully reversible.”

Gender affirming surgical interventions are generally not recommended for transgender adolescents. A comprehensive, multiyear study confirmed that such interventions for transgender adolescents are rare.

Finally, many of the states that have enacted these bans have done so with an express finding that a “substantial” or “large” majority of children who experience distress identifying with their biological sex come to identify with their biological sex in adolescence or adulthood. This is simply not true. An NIH survey found that only 8 percent of transgender respondents reported they had temporarily or permanently detransitioned at some point and the majority did so temporarily.

The adverse consequences of these laws are clear, direct and deeply concerning. Decades of research has confirmed that transgender adolescents are at a heightened risk for anxiety, depression and suicide. A recent study conducted by the NIH found that 56 percent of transgender youth reported a previous suicide attempt and 86 percent reported suicidality. Numerous studies have also consistently demonstrated that gender-affirming interventions significantly reduce the incidence of depression and suicide for transgender and nonbinary youths. Despite this evidence, an estimated 38 percent of all transgender adolescents in America now live in states which restrict their access to medical care critical to their well-being.

A thriving democratic society requires leaders to openly debate and engage the public in discourse based on facts and science. We should seek to eliminate, not create, laws that marginalize or scapegoat selected members of society. And respect for individual autonomy in matters that involve deeply personal choices distinguishes a democracy from societies in which those with power determine how individuals and families should live.

Laws that deprive transgender adolescents, their parents and their medical providers of the freedom to make informed decisions with respect to safe, evidence based clinical care contravene these fundamental principles.

Read More

Congress Bill Spotlight: Preventing Presidential Inaugurations on MLK Day, Like Trump’s

Donald Trump takes office for his second term as the 47th President of the United States.

Getty Images, Pool

Congress Bill Spotlight: Preventing Presidential Inaugurations on MLK Day, Like Trump’s

The Fulcrum introduces Congress Bill Spotlight, a weekly report by Jesse Rifkin, focusing on the noteworthy legislation of the thousands introduced in Congress. Rifkin has written about Congress for years, and now he's dissecting the most interesting bills you need to know about, but that often don't get the right news coverage.

President Donald Trump falsely claimed his January 6, 2021 speech preceding the Capitol Building riot “had more people” in attendance than Dr. Martin Luther King Jr.’s “I Have a Dream” speech.

Keep ReadingShow less
Just the Facts: Trump Administration Pauses International Student Visas
woman wearing blue denim jacket holding book

Just the Facts: Trump Administration Pauses International Student Visas

The Fulcrum strives to approach news stories with an open mind and skepticism, striving to present our readers with a broad spectrum of viewpoints through diligent research and critical thinking. As best we can, we remove personal bias from our reporting and seek a variety of perspectives in both our news gathering and selection of opinion pieces. However, before our readers can analyze varying viewpoints, they must have the facts.

Has the Trump administration put a hold on issuing student visas for this coming fall?

The Trump administration has paused new student visa interviews as part of an effort to expand social media screening for applicants. The State Department has instructed U.S. embassies and consulates to stop scheduling new student and exchange visitor visa appointments until further guidance is issued. However, previously scheduled interviews will still proceed.

Keep ReadingShow less
A Community Response to Disabled Gun Violence Survivors

A Community Response to Disabled Gun Violence Survivors

“What did you see once you got shot?” That might not be one of the first things victims of gun violence are asked, but it was the first question Access Living asked in a survey used to address and assess the many difficulties survivors of gun violence faced.

The nation’s gun violence crisis continues to be a significant threat to people’s lives, as it has claimed over 10,000 lives in the United States every year for the past 10 years, according to Gun Violence Archive. Only three months into 2025, there have been over 100 shootings reported in Chicago, and this will probably continue to rise, as in the country in 2023, on average, 118 people died of gun violence a day. According to the National Institute for Health Care Management Foundation, for every person who dies due to gun violence, more than two survive, usually with significant lifelong physical injuries that they have to learn to live with, along with the mental trauma of the incident.

Keep ReadingShow less
Improving Infrastructure In Washington To Benefit Both People and Nature

The 50: Washington

Improving Infrastructure In Washington To Benefit Both People and Nature

The 50is a four-year multimedia project in which the Fulcrum visits different communities across all 50 states to learn what motivated them to vote in the 2024 presidential election and see how the Donald Trump administration is meeting those concerns and hopes.

Washington State has historically fluctuated between Republican and Democratic preferences. While it was considered a Republican-leaning swing state until the 1980s, the political landscape shifted significantly in the following decades. Since 1988, the Democratic Party has won every presidential election in Washington, consistently achieving victory by double-digit margins since 2008.

Keep ReadingShow less