There’s a fascinating interview with Hilary Cass with the BBC that makes it very clear that her report, used to justify a ban on puberty blockers, was policy-based evidence making: she admits that “we genuinely don’t know if there are harms” from prescribing puberty blockers to trans kids. The medicine remains available to cisgender kids (ie, kids who aren’t trans and who get them to prevent precocious puberty) because there’s no evidence that their potential harm outweighs their measurable benefits.
As Assigned Media notes:
The Final Report of the Cass Review concluded that the evidence for gender-affirming treatments was insufficient and called for further research. Notably, it found no evidence of harm whatsoever, alongside weak evidence of some benefit. To justify restricting care, the report focused on the possibility that some young people who grow up to be trans adults might not have been trans if they were denied the ability to socially or medically transition. Buried in the appendices, the report found fewer than 10 trans youth in the entire country who had detransitioned… The lack of evidence was used to support a care ban, which activists have twisted into a claim that the treatments were found to be harmful, which in turn is fueling the effort to prevent them from even being studied.
One of the reasons puberty blockers were previously prescribed, and why they continue to be prescribed in less backwards countries, was to give kids breathing space to explore their gender and make informed decisions about their future before puberty made irreversible changes. Now they’re banned, Cass says, “we have young people turning up in the clinics on testosterone at 11”. Well, yes. Because puberty blocking is no longer an option and almost all of the kids previously prescribed puberty blockers went on to take the appropriate hormones they needed. Cass saw the blockers-to-hormones pipeline as a problem rather than proof that trans kids were who they said they were.
It’s the next quote that really shows her true colours: for those kids “it may be that if they were prescribed puberty blockers instead, that would give more time for the therapist to work with them and perhaps come to a different solution than a long-term life on medication.”
She’s describing conversion therapy.
Most trans kids become trans adults – the “desistance” rate among trans kids prescribed puberty blockers is exceptionally low. Describing being trans as “a long-term life on medication” as if it’s a problem and making it clear it’s an undesirable outcome tells you exactly what Cass thinks, and why she’s the face of policy that causes incredible cruelty to children.