I don't think I've said this to anyone in years, but: I love your icon. So appropriate for so many situations.
Not to ignore your main post -- I just don't have much to add beyond what you've already said -- but I was struck by your comment in the last paragraph about resistance to treatment for trans kids. I honestly don't think this has improved much since 2002; even here at $hospital, where the adolescent docs running the trans care center obviously get it, the younger-focused peds docs on the main campus I've talked to about it get really hinky about the idea of medical intervention for younger kids. And these are not ass-backward Rethuglicans either; these are your normal, garden-variety LA liberal (obvs. educated) doctors, who fall all over themselves to support LGB rights and are totally on board with appropriate care for trans teens and adults, and who most of the time don't even exhibit transphobia or say overtly cissexist things. But God forbid you suggest respecting a child's self-reported identity, and suddenly it's like the 1950s in here: "oh no of course we don't want them to kill themselves but I just don't know if that's appropriate and we don't know enough about how it affects future sexual development and what if they change their minds later and" blah blah blah concern-troll-a-palooza. :\ (FWIW, I am totally on board with studying those longitudinal, developmental effects; I just don't get how a freakin' medical doctor can prioritize hypothetical future situations -- situations that could be addressed with hypothetical future treatment, if necessary -- over the treatment of a child in obvious pain right now. It gets nice and awkward when I tell them that, too!)
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Not to ignore your main post -- I just don't have much to add beyond what you've already said -- but I was struck by your comment in the last paragraph about resistance to treatment for trans kids. I honestly don't think this has improved much since 2002; even here at $hospital, where the adolescent docs running the trans care center obviously get it, the younger-focused peds docs on the main campus I've talked to about it get really hinky about the idea of medical intervention for younger kids. And these are not ass-backward Rethuglicans either; these are your normal, garden-variety LA liberal (obvs. educated) doctors, who fall all over themselves to support LGB rights and are totally on board with appropriate care for trans teens and adults, and who most of the time don't even exhibit transphobia or say overtly cissexist things. But God forbid you suggest respecting a child's self-reported identity, and suddenly it's like the 1950s in here: "oh no of course we don't want them to kill themselves but I just don't know if that's appropriate and we don't know enough about how it affects future sexual development and what if they change their minds later and" blah blah blah concern-troll-a-palooza. :\ (FWIW, I am totally on board with studying those longitudinal, developmental effects; I just don't get how a freakin' medical doctor can prioritize hypothetical future situations -- situations that could be addressed with hypothetical future treatment, if necessary -- over the treatment of a child in obvious pain right now. It gets nice and awkward when I tell them that, too!)