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ACLU Sues To Stop Indiana Law Banning “Gender Affirming Healthcare”


Bobref

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The lawsuit was filed about an hour after the Governor signed the bill into law. For the life of me, I can’t understand the impetus behind this law.

https://www.aclu-in.org/en/press-releases/aclu-sues-indiana-over-ban-health-care-transgender-youth

INDIANAPOLIS, Ind. — The American Civil Liberties Union and the ACLU of Indiana today filed a lawsuit on behalf of four transgender youth and their families, as well as a doctor and health care clinic, challenging an Indiana law that prohibits health care professionals from providing or even referring transgender young people for medically necessary health care. The lawsuit, filed in federal court, alleges that Senate Bill 480 violates the U.S. Constitution on multiple fronts, including the Equal Protection Clause of the Fourteenth Amendment. In addition, the lawsuit claims that the law violates the federal requirements of the Medicaid Act and the Affordable Care Act, because it prohibits essential medical services that would otherwise be authorized and reimbursed by Medicaid. 

“This law would be devastating to trans youth and their families, causing them serious injuries and forcing those who can, to uproot their lives and leave the state to access the gender-affirming care they need,” said Ken Falk, ACLU of Indiana legal director. “Gender-affirming care is life-saving care for our clients, and they’re terrified of what will happen if this law is allowed to take effect. No child should be cut off from the medical care they need or denied their fundamental right to be themselves — but this law would do both. We’re suing to stop this cruel and unconstitutional law from taking effect and inflicting further harm on these children and their families.” 

The plaintiff families will be denied the gender-affirming care their children are currently receiving if Senate Bill 480 is allowed to take effect. Under the new law, trans youth already receiving gender-affirming health care as of July 1, 2023 will be forced to lose access to such care after six months. Youth not receiving medical care by July 1, 2023 will be unable to begin receiving care in Indiana. 

Two of the parent-plaintiffs, Beth and Nathanial Clawson, note that their plaintiff daughter, currently 10 years old, is fearful about what will happen to her if she cannot get gender-affirming medical care when puberty begins. 

“Starting around the age of two years old, our daughter began telling us who she is. When she was three and a half years old, after researching gender dysphoria and consulting with both her therapist and pediatrician, she socially transitioned. That means we started using she/her pronouns and letting her dress as a girl. That was seven years ago, and she hasn’t wavered at all in knowing who she is,” said Beth Clawson. “As her parents, the most important thing to us is that she knows that we love her, trust her, and will do whatever it takes to ensure that she has every opportunity to grow and develop as her true self regardless of her gender identity. Laws that ban her ability to access gender affirming care take that opportunity away from her,” added Nathaniel Clawson. 

Dr. Catherine Bast with Mosaic Health and Healing Arts is also challenging the law on behalf of herself and her patients because it impairs her ability to treat transgender patients with gender dysphoria with medically necessary health care or even refer them to other providers for treatment. Every major medical association supports treating transgender youth with gender-affirming medical care and opposed Senate Bill 480 because it runs counter to science and medicine and will cause severe harm to transgender young people, their families, and all those who love them. 

“At Mosaic, we know that gender affirming care saves lives. Studies show that when gender dysphoria is treated with gender affirming care, the risk of self-harming behaviors, including suicide, diminishes,” said Mixhi Marquis, executive director of Mosaic Health and Healing Arts. “When politicians require us to deny essential lifesaving care, they ignore science and instead mandate harm and endanger lives. To our gender diverse community, we see you, we stand with you and we know the gifts you bring to the world because we experience them every day.” 

Today’s lawsuit is one of many legal challenges in response to a record-setting year of legislative attacks on transgender people, particularly transgender youth, across the country.  

“We are honored to fight alongside these plaintiff families and medical providers to challenge this unconstitutional and illegal intrusion into the rights of adolescents, their parents and the medical providers who care for them,” said Chase Strangio, deputy director for transgender justice with the ACLU’s LGBTQ & HIV Project. “As we have seen across the country, these laws do not stand up when tested in court. This care is well-studied and widely accepted. And we know as trans people who have benefited from this treatment that stripping it away from us only causes harm and does nothing to protect children.” 

The lawsuit was filed by the ACLU of Indiana and ACLU National. 

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Pre-puberty sex change (setting aside the moral/ethical/spiritual arguments) is not a safe procedure.  Creating sex organs from existing (biological) before body development (puberty) is close to completion can actually be very dangerous (this is known).......

https://www.pbs.org/wgbh/frontline/article/when-transgender-kids-transition-medical-risks-are-both-known-and-unknown/

The last couple of years have seen burgeoning awareness in society of what it means to be transgender as an adult. But now doctors, like those at Ann and Robert H. Lurie Children’s Hospital of Chicago, are helping children who identify as transgender negotiate their journey into adulthood.

For earlier generations of transgender people, the only way to transition physically was through surgery or taking hormones as adults. However, new medical options are allowing transgender children to start the process of transitioning at younger ages.

But doctors tread carefully, navigating medical interventions that carry risks that are both known and unknown.

PUTTING A PAUSE ON PUBERTY

When someone makes the decision to transition, part of that process can be social — choosing a new name, changing pronouns, wearing different clothes — and part of it can be medical.

One of the more recent medical developments is the use of puberty blockers to treat children who are transgender or gender non-conforming. The medications, which suppress the body’s production of estrogen or testosterone, essentially pause the changes that would occur during puberty.

“That’s really what these pubertal blockers do,” Dr. Rob Garofalo told FRONTLINE. Garofalo is the director of the Lurie Children’s Hospital’s Gender and Sex Development Program. “They allow these families the opportunity to hit a pause button, to prevent natal puberty … until we know that that’s either the right or the wrong direction for their particular child.”

Doctors who use puberty blockers say they allow children who experience gender dysphoria — the feeling that they’re in the wrong body — the time and space to explore and settle on their gender identity. What makes treatment tricky is that there is no test that can tell whether a child experiencing distress about their gender will grow up to be transgender. The handful of studies that do exist suggest that gender dysphoria persists in a minority of children, but they involved very few children and were done mostly abroad.

Puberty blockers have been tested and used for children who start puberty very young — if their bodies start to change before the age of eight or nine. Dr. Courtney Finlayson, a pediatric endocrinologist at Lurie Children’s Hospital, said, “We have a lot of experience in pediatric endocrinology using pubertal blockers. And from all the evidence we have they are generally a very safe medication.”

But their use in treating transgender children is a relatively new practice, first prescribed in the United States by the Gender Management Service at Boston Children’s Hospital in 2007, and recommended in the Endocrine Society’s guidelines for the treatment of transgender people in 2009.

Doctors say the benefit of using puberty blockers is that they block hormone-induced biological changes, such as vocal chord changes, the development of breast tissue or changes in facial structure, that are irreversible and can be especially distressing to children who are gender-non conforming or transgender.

“One of the challenges that’s been faced in the past is that treatment of the transgender population really didn’t start until they were either at least older adolescents or adults,” said Finlayson. “And by that time they’ve had all of the pubertal and physical changes that go along with their … natal sex.”

With the use of puberty blockers, “we’re really starting to some extent from a little bit more of a blank slate,” Finlayson explained. “We don’t have to be erasing or trying to get rid of all these other changes that occurred that they don’t want.”

However, the use of puberty blockers to treat transgender children is what’s considered an “off label” use of the medication — something that hasn’t been approved by the Food and Drug Administration. And doctors say their biggest concern is about how long children stay on the medication, because there isn’t enough research into the effects of stalling puberty at the age when children normally go through it.

The Endocrine Society’s guidelines suggest starting puberty blockers for transgender children when they hit a stage of development known as Tanner stage 2 — usually around 10 or 11 years old for a girl and 11 or 12 years old for a boy. The same guidelines suggest giving cross sex hormones — estrogen for transgender girls and testosterone for transgender boys — at age 16. However, doctors caution that estrogen and testosterone, the hormones that are blocked by these medications, also play a role in a child’s neurological development and bone growth.

“We do know that there is some decrease in bone density during treatment with pubertal suppression,” Finlayson said, adding that initial studies have shown that starting estrogen and testosterone can help regain the bone density. What Finlayson said there isn’t enough research on is whether someone who was on puberty blockers will regain all their bone strength, or if they might be at risk for osteoporosis in the future.

Another area where doctors say there isn’t enough research is the impact that suppressing puberty has on brain development.

“The bottom line is we don’t really know how sex hormones impact any adolescent’s brain development,” Dr. Lisa Simons, a pediatrician at Lurie Children’s, told FRONTLINE. “We know that there’s a lot of brain development between childhood and adulthood, but it’s not clear what’s behind that.” What’s lacking, she said, are specific studies that look at the neurocognitive effects of puberty blockers.

“I wouldn’t use [puberty blockers] if I didn’t think that they were safe, or that the benefits didn’t outweigh the potential risks,” Finlayson said. “But we always have this conversation with families before we start.”

STARTING HORMONES

The stakes are higher for children who want to continue physically transitioning by taking the hormones of their desired gender. Doctors grapple with when to start cross-sex hormones, and they say it really depends on the child’s readiness and stability in their gender identity.

While the Endocrine Society’s guidelines suggest 16, more and more children are starting hormones at 13 or 14 once their doctors, therapists and families have agreed that they are mentally and emotionally prepared. The shift is because of the concerns over the impact that delaying puberty for too long can have on development, physically, emotionally and socially.

The physical changes that hormones bring about are irreversible, making the decision more weighty than taking puberty blockers. Some of the known side effects of hormones include things that might sound familiar: acne and changes in mood. Patients are also warned that they may be at higher risk for heart disease or diabetes later in life. The risk of blood clots increases for those who start estrogen. And the risk for cancer is an unknown, but it is included in the warnings doctors give their patients.

Another potential dilemma facing transgender children, their families and their doctors is this: Taking cross hormones can reduce fertility. And there isn’t enough research to find out of it is reversible or not. So when children make the decision to start taking hormones, they have to consider whether they ever want to have biological children.

“I think it’s really important to talk to these children and families about fertility,” Finlayson says. “I do worry that at that stage in life many of them may not be able to realize how important that would be to them someday.”

It’s an ethical question that each family has to deal with in their own way, because if a child goes from taking puberty blockers to taking hormones, they may no longer have viable eggs or sperm at the age when they decide they would like to have children. They do have the option to start their puberty and delay their treatment in order to store eggs or sperm, but some of them may not want to.

While transgender adults have taken hormones sometimes for years, the generation growing up now is among the first to start taking hormones so young. Since most people who start hormones take them for life, doctors say there also isn’t enough research into the long-term impact of taking estrogen or testosterone for what could end up being 50 to 70 years.

“There are so many unanswered questions around the long-term consequences, and whether your health risk profile really becomes that of a male or female,” Garofalo says. “If we start testosterone today, will you have the cardiac risk profile of a male or female as you grow older? Will you develop breast cancer because we’re administering estrogen?

“I think those are the unanswered questions that really trouble me, and can only be answered with long-term follow-up studies.”

THE COST OF TRANSITIONING

Most of these treatments are still very expensive and often out of reach for people without the help of insurance. The cost of puberty blockers is approximately $1,200 per month for injections and can range from $4,500 to $18,000 for an implant. The least expensive form of estrogen, a pill, can cost anywhere between $4 to $30 a month, according to Simons, while testosterone can be anywhere between $20 to $200 a vial.

“What we’re seeing in the clinic is that whether or not specific insurance plans cover medication or not is completely arbitrary,” Simons said. “It really can’t be predicted very easily.”

“We almost always just expect a denial,” she said.

“Though it is not the only treatment, doctor-supervised medical transition is critically important to aid people in the treatment of gender dysphoria,” Vincent Paolo Villano, the director of communications at the National Center for Transgender Equality, told FRONTLINE. “Access to medical transition is often unobtainable due to cost and insurance discrimination.”

“Transgender people experience twice the rate of unemployment as non-transgender people, which means they often lack insurance to gain access to health care, period,” Villano said. “And even for trans people with insurance, health plans often outright ban coverage of transition-related care, forcing transgender people to pay outrageous out-of-pocket expenses for medically-necessary procedures that are covered without question for non-transgender people.”

But the trend might be changing, with some insurance companies starting to cover the cost of transitioning. The team at Lurie Children’s Hospital says it has seen several cases in recent months that did not require appeals, or covered the medication after the first appeal.

Ultimately, the doctors working in clinics like the one at Lurie Children’s hope to spare transgender children some of the anguish and societal isolation that earlier generations of transgender people went through. But they too would like the answers to the unknown consequences of these medications.

“The stakes are super high, and we don’t have all the answers,” Garofalo says. “Hopefully, there’s going to be more research and some of those unanswered questions, hopefully, will begin to be answered.”

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33 minutes ago, swordfish said:

Pre-puberty sex change (setting aside the moral/ethical/spiritual arguments) is not a safe procedure.  Creating sex organs from existing (biological) before body development (puberty) is close to completion can actually be very dangerous (this is known).......

The risk attendant to any type of medical treatment is a matter between the patient and the patient’s healthcare provider. We don’t need the “Nanny State” making those decisions for patients.

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5 hours ago, Bobref said:

The risk attendant to any type of medical treatment is a matter between the patient and the patient’s healthcare provider. We don’t need the “Nanny State” making those decisions for patients.

Think about the children Bob!  Do you want some woke skold of a parent deciding that it's ok for their 13-year old daughter to become a man, beginning a regime of puberty blockers and testosterones treatments that could have some real long term health consequences? Especially if at 17 the now "man" decides they really no longer like their "maleness" and want to go back to being a female.

And surgeries just add another level of cost and complication to that matter.

Is this the kind of decision a 13-17 year old can really, really make for themselves?  After all we aren't talking about tattoos or piercings here.  

 

 

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6 hours ago, swordfish said:

Pre-puberty sex change (setting aside the moral/ethical/spiritual arguments) is not a safe procedure.  Creating sex organs from existing (biological) before body development (puberty) is close to completion can actually be very dangerous (this is known).......

https://www.pbs.org/wgbh/frontline/article/when-transgender-kids-transition-medical-risks-are-both-known-and-unknown/

The last couple of years have seen burgeoning awareness in society of what it means to be transgender as an adult. But now doctors, like those at Ann and Robert H. Lurie Children’s Hospital of Chicago, are helping children who identify as transgender negotiate their journey into adulthood.

For earlier generations of transgender people, the only way to transition physically was through surgery or taking hormones as adults. However, new medical options are allowing transgender children to start the process of transitioning at younger ages.

But doctors tread carefully, navigating medical interventions that carry risks that are both known and unknown.

PUTTING A PAUSE ON PUBERTY

When someone makes the decision to transition, part of that process can be social — choosing a new name, changing pronouns, wearing different clothes — and part of it can be medical.

One of the more recent medical developments is the use of puberty blockers to treat children who are transgender or gender non-conforming. The medications, which suppress the body’s production of estrogen or testosterone, essentially pause the changes that would occur during puberty.

“That’s really what these pubertal blockers do,” Dr. Rob Garofalo told FRONTLINE. Garofalo is the director of the Lurie Children’s Hospital’s Gender and Sex Development Program. “They allow these families the opportunity to hit a pause button, to prevent natal puberty … until we know that that’s either the right or the wrong direction for their particular child.”

Doctors who use puberty blockers say they allow children who experience gender dysphoria — the feeling that they’re in the wrong body — the time and space to explore and settle on their gender identity. What makes treatment tricky is that there is no test that can tell whether a child experiencing distress about their gender will grow up to be transgender. The handful of studies that do exist suggest that gender dysphoria persists in a minority of children, but they involved very few children and were done mostly abroad.

Puberty blockers have been tested and used for children who start puberty very young — if their bodies start to change before the age of eight or nine. Dr. Courtney Finlayson, a pediatric endocrinologist at Lurie Children’s Hospital, said, “We have a lot of experience in pediatric endocrinology using pubertal blockers. And from all the evidence we have they are generally a very safe medication.”

But their use in treating transgender children is a relatively new practice, first prescribed in the United States by the Gender Management Service at Boston Children’s Hospital in 2007, and recommended in the Endocrine Society’s guidelines for the treatment of transgender people in 2009.

Doctors say the benefit of using puberty blockers is that they block hormone-induced biological changes, such as vocal chord changes, the development of breast tissue or changes in facial structure, that are irreversible and can be especially distressing to children who are gender-non conforming or transgender.

“One of the challenges that’s been faced in the past is that treatment of the transgender population really didn’t start until they were either at least older adolescents or adults,” said Finlayson. “And by that time they’ve had all of the pubertal and physical changes that go along with their … natal sex.”

With the use of puberty blockers, “we’re really starting to some extent from a little bit more of a blank slate,” Finlayson explained. “We don’t have to be erasing or trying to get rid of all these other changes that occurred that they don’t want.”

However, the use of puberty blockers to treat transgender children is what’s considered an “off label” use of the medication — something that hasn’t been approved by the Food and Drug Administration. And doctors say their biggest concern is about how long children stay on the medication, because there isn’t enough research into the effects of stalling puberty at the age when children normally go through it.

The Endocrine Society’s guidelines suggest starting puberty blockers for transgender children when they hit a stage of development known as Tanner stage 2 — usually around 10 or 11 years old for a girl and 11 or 12 years old for a boy. The same guidelines suggest giving cross sex hormones — estrogen for transgender girls and testosterone for transgender boys — at age 16. However, doctors caution that estrogen and testosterone, the hormones that are blocked by these medications, also play a role in a child’s neurological development and bone growth.

“We do know that there is some decrease in bone density during treatment with pubertal suppression,” Finlayson said, adding that initial studies have shown that starting estrogen and testosterone can help regain the bone density. What Finlayson said there isn’t enough research on is whether someone who was on puberty blockers will regain all their bone strength, or if they might be at risk for osteoporosis in the future.

Another area where doctors say there isn’t enough research is the impact that suppressing puberty has on brain development.

“The bottom line is we don’t really know how sex hormones impact any adolescent’s brain development,” Dr. Lisa Simons, a pediatrician at Lurie Children’s, told FRONTLINE. “We know that there’s a lot of brain development between childhood and adulthood, but it’s not clear what’s behind that.” What’s lacking, she said, are specific studies that look at the neurocognitive effects of puberty blockers.

“I wouldn’t use [puberty blockers] if I didn’t think that they were safe, or that the benefits didn’t outweigh the potential risks,” Finlayson said. “But we always have this conversation with families before we start.”

STARTING HORMONES

The stakes are higher for children who want to continue physically transitioning by taking the hormones of their desired gender. Doctors grapple with when to start cross-sex hormones, and they say it really depends on the child’s readiness and stability in their gender identity.

While the Endocrine Society’s guidelines suggest 16, more and more children are starting hormones at 13 or 14 once their doctors, therapists and families have agreed that they are mentally and emotionally prepared. The shift is because of the concerns over the impact that delaying puberty for too long can have on development, physically, emotionally and socially.

The physical changes that hormones bring about are irreversible, making the decision more weighty than taking puberty blockers. Some of the known side effects of hormones include things that might sound familiar: acne and changes in mood. Patients are also warned that they may be at higher risk for heart disease or diabetes later in life. The risk of blood clots increases for those who start estrogen. And the risk for cancer is an unknown, but it is included in the warnings doctors give their patients.

Another potential dilemma facing transgender children, their families and their doctors is this: Taking cross hormones can reduce fertility. And there isn’t enough research to find out of it is reversible or not. So when children make the decision to start taking hormones, they have to consider whether they ever want to have biological children.

“I think it’s really important to talk to these children and families about fertility,” Finlayson says. “I do worry that at that stage in life many of them may not be able to realize how important that would be to them someday.”

It’s an ethical question that each family has to deal with in their own way, because if a child goes from taking puberty blockers to taking hormones, they may no longer have viable eggs or sperm at the age when they decide they would like to have children. They do have the option to start their puberty and delay their treatment in order to store eggs or sperm, but some of them may not want to.

While transgender adults have taken hormones sometimes for years, the generation growing up now is among the first to start taking hormones so young. Since most people who start hormones take them for life, doctors say there also isn’t enough research into the long-term impact of taking estrogen or testosterone for what could end up being 50 to 70 years.

“There are so many unanswered questions around the long-term consequences, and whether your health risk profile really becomes that of a male or female,” Garofalo says. “If we start testosterone today, will you have the cardiac risk profile of a male or female as you grow older? Will you develop breast cancer because we’re administering estrogen?

“I think those are the unanswered questions that really trouble me, and can only be answered with long-term follow-up studies.”

THE COST OF TRANSITIONING

Most of these treatments are still very expensive and often out of reach for people without the help of insurance. The cost of puberty blockers is approximately $1,200 per month for injections and can range from $4,500 to $18,000 for an implant. The least expensive form of estrogen, a pill, can cost anywhere between $4 to $30 a month, according to Simons, while testosterone can be anywhere between $20 to $200 a vial.

“What we’re seeing in the clinic is that whether or not specific insurance plans cover medication or not is completely arbitrary,” Simons said. “It really can’t be predicted very easily.”

“We almost always just expect a denial,” she said.

“Though it is not the only treatment, doctor-supervised medical transition is critically important to aid people in the treatment of gender dysphoria,” Vincent Paolo Villano, the director of communications at the National Center for Transgender Equality, told FRONTLINE. “Access to medical transition is often unobtainable due to cost and insurance discrimination.”

“Transgender people experience twice the rate of unemployment as non-transgender people, which means they often lack insurance to gain access to health care, period,” Villano said. “And even for trans people with insurance, health plans often outright ban coverage of transition-related care, forcing transgender people to pay outrageous out-of-pocket expenses for medically-necessary procedures that are covered without question for non-transgender people.”

But the trend might be changing, with some insurance companies starting to cover the cost of transitioning. The team at Lurie Children’s Hospital says it has seen several cases in recent months that did not require appeals, or covered the medication after the first appeal.

Ultimately, the doctors working in clinics like the one at Lurie Children’s hope to spare transgender children some of the anguish and societal isolation that earlier generations of transgender people went through. But they too would like the answers to the unknown consequences of these medications.

“The stakes are super high, and we don’t have all the answers,” Garofalo says. “Hopefully, there’s going to be more research and some of those unanswered questions, hopefully, will begin to be answered.”

I read somewhere that the total cost for a full transition, including surgeries and drugs, can be upwards of 7 million dollars.  Sweet, sweet coin for the hospitals and doctors.

 

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2 hours ago, Muda69 said:

Is this the kind of decision a 13-17 year old can really, really make for themselves?  After all we aren't talking about tattoos or piercings here

Isn’t that the traditional role of parents? You, of all people, should be repulsed at the notion of the government legislating morality — which is all this is.

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20 hours ago, Bobref said:

Isn’t that the traditional role of parents? You, of all people, should be repulsed at the notion of the government legislating morality — which is all this is.

Traditionally speaking if I as a parent didn’t perform my duties per government standards, doesn’t the government take my children from me? Transvestites commit suicide at a rate somewhere around 35% higher than their cis friends. Can we at least agree there is some degree of mental illness involved in the equation? 

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39 minutes ago, Impartial_Observer said:

Traditionally speaking if I as a parent didn’t perform my duties per government standards, doesn’t the government take my children from me? Transvestites commit suicide at a rate somewhere around 35% higher than their cis friends. Can we at least agree there is some degree of mental illness involved in the equation? 

To my knowledge, the Legislature, in its infinite wisdom, has only substituted its judgment for the patient’s in healthcare decisions in 2 areas: abortion and transgenders. Two hot button “morality” issues. Do you think that’s a coincidence? It’s legislating morality in the guise of healthcare regulation.

And comparing transvestites to transgenders is completely inapposite. But even if it weren’t, the “mental illness” involved is usually depression brought on, in large part, by the frustrations of dealing with an ignorant and bigoted world, don’t you think?

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On 4/6/2023 at 5:21 PM, Bobref said:

Isn’t that the traditional role of parents? You, of all people, should be repulsed at the notion of the government legislating morality — which is all this is.

American society already legislates the moral choices minors can make, and have been doing it for decades:

1. The age they can legally purchase and consume alcohol.

2. The age they can legally have sex with another individual.

3. The age they can legally drive a car.

4. The age they can legally purchase tobacco products.

5. The age they can legally work for pay outside of the home.

6. The age they can join the military.

This list goes on.

Again, I'm talking about minors here.  If a legal adult want to waste their time and money, along with most likely a lifetime of pain and suffering, to become a different gender, then they can knock themselves out. 

So you are in agreement that all the above laws should be repealed, in the name of getting government out of the morality business?

 

 

 

 

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On 4/7/2023 at 3:05 PM, Bobref said:

To my knowledge, the Legislature, in its infinite wisdom, has only substituted its judgment for the patient’s in healthcare decisions in 2 areas: abortion and transgenders. Two hot button “morality” issues. Do you think that’s a coincidence? It’s legislating morality in the guise of healthcare regulation.

And comparing transvestites to transgenders is completely inapposite. But even if it weren’t, the “mental illness” involved is usually depression brought on, in large part, by the frustrations of dealing with an ignorant and bigoted world, don’t you think?

I could give two shits about any of this. You’ll have to excuse my slip of the keyboard. Sure allow kids and idiot parents to do whatever they fancy. 

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1 hour ago, Muda69 said:

American society already legislates the moral choices minors can make, and have been doing it for decades:

1. The age they can legally purchase and consume alcohol.

2. The age they can legally have sex with another individual.

3. The age they can legally drive a car.

4. The age they can legally purchase tobacco products.

5. The age they can legally work for pay outside of the home.

6. The age they can join the military.

This list goes on.

Again, I'm talking about minors here.  If a legal adult want to waste their time and money, along with most likely a lifetime of pain and suffering, to become a different gender, then they can knock themselves out. 

So you are in agreement that all the above laws should be repealed, in the name of getting government out of the morality business?

 

Those are “morality issues?”

“When I use a word,’ Humpty Dumpty said in rather a scornful tone, ‘it means just what I choose it to mean — neither more nor less.’

Lewis Carroll — Through The Looking Glass

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