National
Review Online
Wednesday,
February 01, 2023
In recent
years, there has been a noticeable shift in European health care, away from
medicalized gender transitions for minors and back to “watchful waiting.” In
Sweden and in the United Kingdom, government-commissioned independent reviews
have urged a more cautious and non-interventionist approach. In America, a
radical approach to handling these cases has been galloping ahead.
Some
state legislatures, though, have taken it upon themselves to impose guardrails.
In Arkansas, the Save Adolescents from Experimentation Act bans all medicalized
gender transitions for minors, everything from puberty blockers to genital
surgery. Alabama passed a similar ban (which a federal judge later blocked),
criminalizing the facilitation of a child’s medical transition by parents as
well as doctors. Florida took a more European route, issuing its ban through
its government-appointment medical board.
The
latest state to intervene is Utah with legislation called “Transgender Medical
Treatments and Procedures Amendments.” It was sponsored by state senator
Michael Kennedy, a Republican and a physician, and signed into law
— perhaps surprisingly — by Governor Spencer Cox.
The law
bans transition surgeries for minors and tightly regulates hormonal transition
treatments. Under its provisions, health-care providers will not be able to
prescribe transition drugs to new patients with only recent histories of gender
dysphoria. The law also “extends the medical malpractice statute of
limitations.” And it allows individuals to “bring a medical malpractice action
for treatment provided to the individual as a minor if the individual later
disaffirms consent.” These are important steps in reintroducing clinical
accountability. The statute is moderate in tone and in reach, making it harder
for transgender activists to attack it. Its focus is protecting patients, not
punishing providers.
Speaking
in support of the bill, Governor Cox applauded Senator Kennedy’s “nuanced and
thoughtful approach to this terribly divisive issue,” acknowledging that “more
and more experts, states and countries around the world are pausing these
permanent and life-altering treatments for new patients until more and better
research can help determine the long-term consequences.”
This
marks a shift in Cox’s thinking on the issue. Last year, the governor vetoed a
bill that would have prevented males (who identify as females) from
participating in girls’ sports. Furthermore, in 2020, while serving as
lieutenant governor, Cox worked closely with LGBTQ activists to ban “conversion
therapy,” a definition so broad it included “mental health therapy that seeks
to change, eliminate, or reduce behaviors, expressions, attractions, or
feelings related to a patient or client’s sexual orientation or gender
identity.” [Emphasis added]
There
are two explanations for Cox’s change of heart. Either he has come to
appreciate, as did South Dakota’s Kristi Noem, that anything less than
determined opposition to the transgender policy agenda will not be tolerated by
Republican voters. Or he has come to appreciate — perhaps by watching the
debate unfold in Europe — that the claims of transgender ideology are not
as credible, nor as compassionate, as he might have once supposed.
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